Organization
ADVANCED ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PETER GRANSINGER MSN (CRNA)
(662) 322-6616
Entity
Organization
Contact information
Practice address
306 BRADLEY RD, CORINTH, MS 38834-7047
(662) 286-9292
Mailing address
106 HIGH FOREST DR, TUPELO, MS 38801-0401
(662) 322-6616
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
01/12/2020
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