Organization
MIDSOUTH SPECIALITY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POPPY WALKER MBA (PRACTICE ADMINISTRATOR)
(325) 660-5535
Entity
Organization
Contact information
Practice address
1355 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 660-5535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
12/04/2022
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