Healthcare Provider Details

I. General information

NPI: 1922608116
Provider Name (Legal Business Name): WILLIAM SAUNDERS III CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MEMORIAL DR
DALTON GA
30720-2529
US

IV. Provider business mailing address

PO BOX 2563
DALTON GA
30722-2563
US

V. Phone/Fax

Practice location:
  • Phone: 706-271-0100
  • Fax:
Mailing address:
  • Phone: 706-271-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN246721
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-CRNA246721
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: