Individual
MR. WILLIE FRANK FURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(334) 222-8466
(334) 222-9811
Mailing address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(334) 222-8466
(334) 222-9811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-089834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09980435
—
AL
01
—
51524922
BCBS PROVIDER NUMBER
AL
Enumeration date
05/30/2006
Last updated
07/09/2007
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