Organization
EAST MISSISSIPPI ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD W BARKER CRNA (PRESIDENT)
(601) 484-3480
Entity
Organization
Contact information
Practice address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 484-3480
Mailing address
PO BOX 2429, MURRELLS INLET, SC 29576-2429
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01380019
—
MS
Enumeration date
05/03/2006
Last updated
08/22/2020
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