Individual
WILLIAM KRESCHOLLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1-088207
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN182928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981660
—
AL
Enumeration date
01/16/2006
Last updated
10/10/2023
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