Individual
MR. JERRY L MCCRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1014 E JACKSON RD, UNION, MS 39365-9202
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
129377
MS
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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