Individual
LEROY GROOVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2490 RIVERSIDE DR, SUITE B, MACON, GA 31204-1750
(478) 633-6706
(478) 633-9384
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN145223
GA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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