JONATHAN KELLY WALDEN

PRISMA HEALTH-UPSTATE

Dr JONATHAN KELLY WALDEN is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2006.

Contact

PRISMA HEALTH-UPSTATE

701 GROVE RD
GREENVILLE
SC
296054210

Tel: 8644557000

JONATHAN KELLY WALDEN Information

Npi 1598783755
Pac Id 8527063122
Professional Enrollment Id I20061003000163
Last Name WALDEN
First Name JONATHAN
Middle Name KELLY
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRISMA HEALTH-UPSTATE
Group Practice Pac Id 5698063162
Number Of Group Practice Members 195
Line 1 Street Address 701 GROVE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GREENVILLE
State SC
Zip Code 296054210
Phone Number 8644557000
Hospital Affiliation Ccn 1 420102
Hospital Affiliation Lbn 1 GHS PATEWOOD MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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