Individual
GREGG DANIEL STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5383
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP07612
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R874225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08029717
—
MS
Enumeration date
01/07/2014
Last updated
08/26/2016
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