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Individual

GAYLE M RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, DNP

Contact information

Practice address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
(912) 355-8403
Mailing address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
(912) 355-8403

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
183356
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN056074
GA
367500000X
Certified Registered Nurse Anesthetist
RNA36642
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003166006A
GA
Enumeration date
07/10/2007
Last updated
11/09/2016
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