Individual
MR. JEFFREY EARL PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7950 MARTIN LOOP, COLUMBUS, GA 31905-5647
(706) 544-4375
Mailing address
55 CLOISTER CV, NEWNAN, GA 30265-4116
(678) 570-5885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN136203
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN136203
GA
Other
Enumeration date
02/03/2006
Last updated
05/19/2009
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