Individual
SAMUEL W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
10800 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001231147
VA
367500000X
Certified Registered Nurse Anesthetist
C-APN.0003966-C-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
GA-CRNA001081
GA
Other
Enumeration date
12/03/2015
Last updated
11/14/2022
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