Individual
JONATHAN R SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
131 WINCHESTER DR, SAVANNAH, GA 31410-4222
(912) 547-0357
(912) 356-3391
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN102479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000830178A
—
GA
05
—
1DGAN316
—
SC
Enumeration date
08/31/2006
Last updated
02/19/2009
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