LEROY GROOVER

MACON, GA
NPI1609171677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN145223)
Enumeration Date2011-01-21
Last Update Date2011-01-21
Business Address
-- LEROY GROOVER CRNA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1000
Mailing Address
-- LEROY GROOVER CRNA
2490 RIVERSIDE DR SUITE B
MACON, GA 31204-1750
Phone number: 478-633-6706
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