Individual
ROBERT G OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4211 TROLLEY LINE RD, AIKEN, SC 29801-2749
(803) 648-2840
Mailing address
4211 TROLLEY LINE RD, AIKEN, SC 29801-2749
(803) 648-2840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80823
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA80823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0938
—
SC
Enumeration date
07/25/2006
Last updated
10/15/2010
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