Grooms, Raymond Jeffery

Grooms, Raymond Jeffery is an individual health care provider with primary practice located at 5500 Waters Ave , Savannah GA 31404-6236. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grooms, Raymond Jeffery can be contacted via phone (912) 350-7219.

Contact Information

Primary practice address
5500 Waters Ave Savannah GA 31404-6236
Phone: (912) 350-7219
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN093384 Georgia

Profile Details

NPI number 1780673459
LBN Legal business name Grooms, Raymond Jeffery
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780673459 NPPES
Georgia Other 52782543 BCBS

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