Individual
MRS. ANNA COLEMAN PANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-133775
AL
163W00000X
Registered Nurse
R877799
MS
367500000X
Certified Registered Nurse Anesthetist
1-133775
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
877799
MS
Other
Enumeration date
01/01/2012
Last updated
01/10/2017
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