Provider Demographics
NPI:1992472864
Name:GROOVER, CAROLINE (BSN, RN, DNAP, CRNA)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GROOVER
Suffix:
Gender:F
Credentials:BSN, RN, DNAP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2212
Mailing Address - Country:US
Mailing Address - Phone:912-429-8106
Mailing Address - Fax:
Practice Address - Street 1:530 GREEN ISLAND RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-3001
Practice Address - Country:US
Practice Address - Phone:912-429-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN275318367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered