Individual
MR. GRAYSON THOMAS SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(516) 945-3000
(704) 248-5537
Mailing address
PO BOX 945375, ATLANTA, GA 30394-5375
(516) 945-3000
(704) 248-5553
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1129501
AL
367500000X
Certified Registered Nurse Anesthetist
22654
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN214138
GA
Other
Enumeration date
11/02/2016
Last updated
09/25/2024
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