Individual
RAYMOND JEFFERY GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5 SWEETGUM XING, SAVANNAH, GA 31411-2734
(912) 665-0628
Mailing address
122 RICE MILL DR, SAVANNAH, GA 31419-9073
(912) 921-4719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN28204
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN093384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52782543
BCBS
GA
Enumeration date
10/17/2005
Last updated
10/15/2025
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