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Mandrill Deangelo Montgomery, CRNA
Certified Registered Nurse Anesthetist in Greenville, South Carolina
NPI 1255505665

Mandrill Deangelo Montgomery is a Certified Registered Nurse Anesthetist based in Greenville, SC. Mandrill Deangelo Montgomery practices in Greenville, SC and has the professional credentials of CRNA. The NPI Number for Mandrill Deangelo Montgomery is 1255505665 and holds a License No. 101035 (South Carolina).

The current practice location address for Mandrill Deangelo Montgomery is 701 Grove Rd, Greenville, SC and can be reached out via phone at 864-454-7111 and via fax at 864-455-6441.

Location: 701 Grove Rd, Greenville, SC, 29615-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255505665
Provider Name
Mandrill Deangelo Montgomery
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
701 Grove Rd, Greenville, SC, 29615-4545
Phone Number
864-454-7111
Fax Number
864-455-6441
Provider Enumeration Date
04/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57-6007863 01 SC TAX ID
institution
Provider Business Practice Location Address Details
Address
701 Grove Rd
City
Greenville
State
South Carolina
Zip
29605-5611
Phone Number
864-454-7111
Fax Number
864-455-6441
person
Provider Business Mailing Address Details
Address
701 Grove Rd
City
Greenville
State
South Carolina
Zip
29605-5611
Phone Number
864-454-7111
Fax Number
864-455-6441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
101035 (South Carolina)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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