Individual
MS. KATHERINE GAYNELL GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
214 PORT GIBSON ST, RAYMOND, MS 39154
(205) 470-4157
Mailing address
PO BOX 3, RAYMOND, MS 39154-0003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R891766
MS
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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