Mr Jimmy Glenn Stillwell, CRNA CERTIFIED REGIS | |
1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 | |
(903) 799-3000 | |
Not Available |
Full Name | Mr Jimmy Glenn Stillwell |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1007 S Williams, Atlanta, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003991290 | NPI | - | NPPES |
00C81J | Other | TX | BLUE SHIELD GROUP |
81265U | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | TX RN 226622 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jimmy Glenn Stillwell, CRNA CERTIFIED REGIS 8704 Cr 317 South, Henderson, TX 75654 Ph: (903) 898-2662 | Mr Jimmy Glenn Stillwell, CRNA CERTIFIED REGIS 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 Ph: (903) 799-3000 |
Mr. Terry Dean Boatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1007 S William St, Atlanta, TX 75551 Phone: 903-799-3000 |