Individual
JONATHAN HYDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-0000
Mailing address
1199 PRINCE AVE, ANESTHESIA DEPT, ATHENS, GA 30606-2797
(706) 475-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN228239
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN228239
GA
Other
Enumeration date
11/26/2018
Last updated
10/10/2024
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