Individual
LARRY D MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5166
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R814043
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120862
—
MS
05
—
1030767
—
LA
01
—
430050102
RAILROAD MEDICARE
—
01
—
640507572OA
AMERICAN ADMIN GROUP
MS
Enumeration date
07/26/2006
Last updated
03/27/2009
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