Individual
MR. ERIC ASHLEY MCCRANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 947-1330
(601) 947-1331
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(251) 690-8891
(251) 544-0188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-092412
AL
363LF0000X
Family Nurse Practitioner
Primary
R863289
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP NUMBER
AL
05
—
05523153
—
MS
01
—
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
03/17/2008
Last updated
12/27/2012
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