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Contact Information

JEFFREY I KALISH, CRNA
744 NOAH DRIVE
SUITE 113-315
JASPER, GA30143
 Phone: 706-301-1098
 Fax: 706-301-9151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JEFFREY I KALISH · (Male)

NPI Number 1700872116
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/21/2005
Last updated 10/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 1724492
  • GA License # 147022
  • KY License # 3099A
  • NH License # 048622-23-11
  • VT License # 101-0031149
  • FL Medicaid 3050611 00
  • GA Medicaid 995335579K
  • NH Medicaid 30342515
  • VT Medicaid 1011062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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