Individual
JEREMY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 441 HISTORIC HWY N, DEMOREST, GA 30535-4528
(904) 625-2073
Mailing address
215 DEER RIDGE LN, GRAY, GA 31032-6111
(478) 986-9562
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN203127
GA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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