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Grayson Thomas Sandy, CRNA

Nurse Anesthetist, Certified Registered in Macon, GA. Individual provider (NPI-1).

NPI number1669924015
StatusActive
Last updated in NPPESSep 25, 2024

Details

NPI
1669924015
Entity type
Individual (NPI-1)
Name
Mr. Grayson Thomas Sandy
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2016
Certification date
Sep 25, 2024
Last updated
Sep 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredRN214138GAYes
367500000X Nurse Anesthetist, Certified Registered1129501AL
367500000X Nurse Anesthetist, Certified Registered22654SC

Practice location

777 Hemlock St
Macon, GA 31201-2102

Phone 516-945-3000 · Fax 704-248-5537

Mailing address

Po Box 945375
Atlanta, GA 30394-5375

Phone 516-945-3000 · Fax 704-248-5553

Other practice locations

171 Ashley Ave
Charleston, SC 29425-3502

Phone 843-792-1414

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