Individual
THEODORE KOERNER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 FRIST CT # 200, COLUMBUS, GA 31909-3578
(706) 494-2100
Mailing address
PO BOX 1473, FORTSON, GA 31808-1473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2024602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034097900
—
FL
Enumeration date
03/10/2006
Last updated
01/27/2026
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