Gray, Joan Krill
Gray, Joan Krill is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gray, Joan Krill can be contacted via phone (912) 435-6006.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5641
Phone: (912) 435-6006
Fax: (912) 435-6007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN172375 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2353 | South Carolina |
Profile Details
| NPI number | 1518921071 |
|---|---|
| LBN Legal business name | Gray, Joan Krill |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Feb 20th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518921071 | NPPES |
| South Carolina | MEDICAID | AN0949 |
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