Individual
JASON SIRNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
610 PLUM, MACON, GA 31201
(478) 955-5769
(478) 955-5769
Mailing address
1845 LINCOLN ROAD, MACON, GA 31211
(478) 955-5769
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN169127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344393
WELLCARE CMO - MCCG
GA
01
—
440677502A
PEACHSTATE CMO - MCCG
GA
05
—
440677502A
—
GA
01
—
P00147040
RAILROAD MCR - MCCG
GA
Enumeration date
05/01/2007
Last updated
12/19/2011
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