Ronald Ray Mallory, CRNA | |
214 Hospital Cir, Blairsville, GA 30512-3102 | |
(706) 745-2111 | |
(706) 745-3114 |
Full Name | Ronald Ray Mallory |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 214 Hospital Cir, Blairsville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457449258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R095938 (Georgia) | Primary |
Entity Name | Union County Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
Mailing Address | Practice Location Address |
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Ronald Ray Mallory, CRNA 214 Hospital Cir, Blairsville, GA 30512-3102 Ph: (706) 745-2111 | Ronald Ray Mallory, CRNA 214 Hospital Cir, Blairsville, GA 30512-3102 Ph: (706) 745-2111 |
Seth Martin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 706-745-2111 | |
Douglas Keith Bradford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 856 Byers Rd, Blairsville, GA 30512 Phone: 334-799-1549 | |
Mrs. Dusty Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 610-453-1548 | |
Dr. Cheryl E. Mcrae-bergeron, D.N.P. CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 547 Riverbend Rd, Blairsville, GA 30512 Phone: 706-835-6166 Fax: 706-781-6949 | |
Sharon Elaine Ely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 Hospital Cir, Blairsville, GA 30512 Phone: 706-745-2111 | |
Brian C. Kraft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 Hospital Cir, Blairsville, GA 30512 Phone: 850-797-4396 |