# MADISON HMA PHYSICIAN MANAGEMENT, INC.-CRNAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568655132
- **Authorized official:** BRAD SINCLAIR (REGIONAL MANAGER)
- **Authorized official phone:** (601) 376-1100

## Contact information

- **Practice address:** 1421 E PEACE ST, CANTON, MS 39046-4938
- **Practice address phone:** (601) 859-1331
- **Mailing address:** 1421 E PEACE ST, CANTON, MS 39046-4938
- **Mailing address phone:** (601) 859-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 08/27/2007