Individual
SHERRIE GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN071983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806055F
—
GA
01
—
989890
BCBS
GA
Enumeration date
04/12/2006
Last updated
09/08/2020
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