Individual
MAURY W HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1225 N STATE ST, MBMC ANESTHESIA, JACKSON, MS 39202-2064
(601) 968-1190
Mailing address
PO BOX 23090, MBMC ANESTHESIA, JACKSON, MS 39225-3090
(601) 968-4171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R881312
MS
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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