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Individual

SUMMER P SWINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
830 SOUTH GLOSTER, TUPELO, MS 38801
(662) 377-4394
(662) 377-7045
Mailing address
PO BOX 3294, TUPELO, MS 38803-3294
(662) 377-4394
(662) 377-7045

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R855706
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03506539
MS
Enumeration date
07/14/2006
Last updated
07/08/2007
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