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Organization
NORTH MISSISSIPPI ANESTHESIA, LLC
Active
Organization
NORTH MISSISSIPPI ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E MCCARVILLE (ADMINISTRATOR)
(662) 432-1490
Entity
Organization
Contact information
Practice address
1211 S GLOSTER ST STE B, TUPELO, MS 38801-6535
(662) 266-1670
Mailing address
2808 S INGRAM MILL RD BLDG B, SPRINGFIELD, MO 65804-4017
(417) 889-2040
(417) 719-7896
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
Enumeration date
02/05/2019
Last updated
02/21/2020
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