Individual
MR. FARREN A WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R852116
MS
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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