Individual
JAMES DAVID INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3197
(662) 538-7631
Mailing address
144 WILLOW OAK LN, BRANDON, MS 39047-7464
(662) 590-2591
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
906931
MS
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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