Individual
MYRA GAITHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-030974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932107
—
AL
Enumeration date
05/01/2006
Last updated
07/08/2007
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