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Organization

CLARKSDALE HMA LLC

Active
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Organization

CLARKSDALE HMA LLC

Active
Other names
Clarksdale Phys Serv Anesthesia CRNA
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
(615) 778-8074
Entity
Organization

Contact information

Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3401
Mailing address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3401

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019315A
BC CRNA
MS
05
—
090114363
—
MS
Enumeration date
07/12/2006
Last updated
05/23/2019
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