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Individual

SHIRLEY P. ROWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1560 SUMRALL RD, COLUMBIA, MS 39429-2654
(601) 736-6303
(601) 740-2233
Mailing address
PO BOX 630, COLUMBIA, MS 39429-0630
(601) 736-6303
(601) 740-2233

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R104120
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017855
CRNA CERTIFICATION
05
01979255
MS
01
R104120
RN LICENSE
MS
Enumeration date
02/20/2008
Last updated
02/20/2008
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