Individual
IRBY LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1183
(601) 249-1709
Mailing address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1183
(601) 249-1709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22156
TN
367500000X
Certified Registered Nurse Anesthetist
R851201
MS
Other
Enumeration date
01/16/2009
Last updated
03/14/2017
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