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NPI Code Detail

MEDICARE: FREDERICK JAMES CRNA

MEDICARE: FREDERICK JAMES CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist257003GA

General Provider Information

NPI Number : 1801892641
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK JAMES CRNA
Provider Business Mailing Address
First Line : 118 SAND LAPPER CV
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-9316
Country : US
Telephone Number : 516-241-7736
Fax Number : 516-499-9005
Provider Business Practice Location Address
First Line : 5353 REYNOLDS ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-6015
Country : US
Telephone Number : 912-819-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/10/2025

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