Individual
KATHY C MARGRAVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
221 N HOGAN ST, #301, JACKSONVILLE, FL 32202-4201
(912) 655-8548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1345206101/55167
KS
367500000X
Certified Registered Nurse Anesthetist
191370/058559
NC
367500000X
Certified Registered Nurse Anesthetist
2003030993
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN108979CRNA
GA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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