Individual
LOUIE WILLIAM HARRELSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8059
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-101380
AL
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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