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Organization

MCCOMB ANESTHESIA ASSOCIATES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHRAF E. RIAD M.D. (PARTNER)
(601) 936-0682
Entity
Organization

Contact information

Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 936-0682
Mailing address
PO BOX 4507, JACKSON, MS 39296-4507
(601) 936-0682
(601) 936-0686

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014655
MS
01
CN3408
RAILROAD MEDICARE
Enumeration date
06/06/2006
Last updated
02/17/2010
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