| 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 |