Jones, Glendon R

Jones, Glendon R is an individual health care provider with primary practice located at 777 Hemlock St , Macon GA 31201-2102. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Jones, Glendon R can be contacted via phone (866) 507-5244.

Contact Information

Primary practice address
777 Hemlock St Macon GA 31201-2102
Phone: (866) 507-5244
Fax: (855) 851-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN071670 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN071670 Georgia

Profile Details

NPI number 1255351391
LBN Legal business name Jones, Glendon R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 18th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255351391 NPPES
Georgia Other 000556421E PEACHSTATE - MCCG
Georgia Other 430047641 PEACHSTATE - MCCG
Georgia MEDICAID 000556421E PEACHSTATE - MCCG
Georgia Other 344340 PEACHSTATE - MCCG

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