Individual
ROY CURTIS GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2046 BEACH BLVD APT C113, BILOXI, MS 39531-5126
(318) 801-5526
Mailing address
2046 BEACH BLVD APT C113, BILOXI, MS 39531-5126
(318) 801-5526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP04871
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R863777
MS
367500000X
Certified Registered Nurse Anesthetist
RN113738
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05789291
—
MS
Enumeration date
05/16/2006
Last updated
02/14/2022
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