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Organization
MADISON HMA PHYSICIAN MANAGEMENT, INC.-CRNAS
Active
Organization
MADISON HMA PHYSICIAN MANAGEMENT, INC.-CRNAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SINCLAIR (REGIONAL MANAGER)
(601) 376-1100
Entity
Organization
Contact information
Practice address
1421 E PEACE ST, CANTON, MS 39046-4938
(601) 859-1331
Mailing address
1421 E PEACE ST, CANTON, MS 39046-4938
(601) 859-1331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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