Matthew Nesmith
Nurse Anesthetist, Certified Registered in Saint Marys, GA. Individual provider (NPI-1).
NPI number1427452002
StatusActive
Last updated in NPPESOct 6, 2015
Details
- NPI
- 1427452002
- Entity type
- Individual (NPI-1)
- Name
- Matthew Nesmith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2014
- Last updated
- Oct 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN195470 | GA | Yes |
Practice location
2000 Dan Proctor DrSaint Marys, GA 31558-3810
Phone 912-576-6140
Mailing address
1497 Fair Rd 102Statesboro, GA 30458-0823
Phone 912-486-1973 · Fax 912-681-4184
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