Individual
JOHN M THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 N JUSTICE ST, ANESTHESIA DEPT, HENDERSONVILLE, NC 28791-3410
(828) 696-1000
Mailing address
PO BOX 75220, CHARLOTTE, NC 28275-0220
(828) 697-4330
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
181412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051725
—
NC
Enumeration date
01/25/2006
Last updated
12/14/2007
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