Individual
MS. JOAN KRILL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6006
(912) 435-6007
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2353
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN172375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0949
—
SC
Enumeration date
04/13/2006
Last updated
02/20/2024
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