Individual
MR. JAMES A JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
367 CLEAR CREEK PKWY, LAVONIA, GA 30553-4173
(706) 356-7800
(706) 567-6036
Mailing address
4523 HIGHWAY 246 N, HODGES, SC 29653-9705
(864) 374-7363
(706) 567-6036
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN079744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025919180B
—
GA
05
—
025919180E
—
GA
05
—
025919180F
—
GA
05
—
025919810A
—
GA
Enumeration date
01/29/2007
Last updated
12/16/2015
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