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Organization
MCCOMB ANESTHESIA ASSOCIATES, LLP
Active
Organization
MCCOMB ANESTHESIA ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF E. RIAD M.D. (PARTNER)
(601) 936-0682
Entity
Organization
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 936-0682
Mailing address
PO BOX 4507, JACKSON, MS 39296-4507
(601) 936-0682
(601) 936-0686
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
05
—
09014655
—
MS
01
—
CN3408
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
02/17/2010
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