Individual
EDWARD LEE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1203 BLUFF RD, COLDWATER, MS 38618-6719
(662) 562-7654
Mailing address
1203 BLUFF RD, COLDWATER, MS 38618-6719
(662) 562-7654
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R862681
MS
Other
Enumeration date
06/19/2008
Last updated
11/07/2015
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