State of Mississippi-University of Mississippi Medical Center
NPI #1831520691 in Grenada, Mississippi
Provider Information
- NPI Number
- 1831520691
- Entity Type
- Organization
- Organization Name
- State of Mississippi-University of Mississippi Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Dec 4, 2013
- Last Updated
- Mar 6, 2014
Practice Location
- Address
- 960 AVENT DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5230
- Phone
- (662) 227-7000
Authorized Official
- Name
- MR. KEVIN COOK
- Title
- CEO
- Phone
- (601) 984-4113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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