Individual
GLENDON R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(866) 507-5244
(855) 851-4405
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN071670
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN071670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000556421E
PEACHSTATE - MCCG
GA
05
—
000556421E
—
GA
01
—
344340
WELLCARE CMO - MCCG
GA
01
—
430047641
RAILROAD MCR - MCCG
GA
Enumeration date
07/20/2006
Last updated
11/18/2014
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