Individual
JONNICE C GRENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-3871
Mailing address
3155 N POINT PKWY, BUILDING F, SUITE 100 ATTN: CREDENTIALING DEPT, ALPHARETTA, GA 30005-5481
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN158565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866573598A
—
GA
05
—
866573598B
—
GA
05
—
866573598C
—
GA
Enumeration date
03/13/2008
Last updated
07/30/2024
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