Individual
MS. JAI THOMPSON-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
367500000X
Certified Registered Nurse Anesthetist
Primary
RN117117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328705913A
—
GA
01
—
580628385
TRICARE
GA
05
—
697000668H
—
GA
05
—
697000668I
—
GA
01
—
P00918915
RAILROAD MEDICARE
GA
Enumeration date
07/11/2006
Last updated
02/16/2022
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