Individual
MR. JAMES HOWARD MACKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
50 UNION ST, ELLSWORTH, ME 04605-1534
(207) 664-5311
(207) 664-5305
Mailing address
610 BALTIMORE ST, POBOX 329, CHARLESTOWN, MD 21914-1103
(410) 287-9616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R138984
MD
Other
Enumeration date
12/14/2010
Last updated
10/25/2017
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