Individual
ANGELA DARLENE GERRALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1791
(912) 819-4100
Mailing address
1319 LEEFIELD STATION RD, BROOKLET, GA 30415-6084
(912) 481-9825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN223095
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223095
GA
Other
Enumeration date
10/11/2018
Last updated
10/25/2018
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