Individual
ANTHONY WAYNE REDDIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-2550
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901571
MS
Other
Enumeration date
06/24/2019
Last updated
06/17/2024
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