Healthcare Provider Details

I. General information

NPI: 1568792331
Provider Name (Legal Business Name): JANET L HEATH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET H PILKINGTON CRNA

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11705 MERCY BLVD
SAVANNAH GA
31419-1711
US

IV. Provider business mailing address

175 BALD CYPRESS LN
BLOOMINGDALE GA
31302-9317
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-5357
  • Fax:
Mailing address:
  • Phone: 205-936-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN206630
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: