Individual
ALBERT CALVIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5383
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901464
MS
367500000X
Certified Registered Nurse Anesthetist
AP134738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639046
—
MS
Enumeration date
03/07/2016
Last updated
08/10/2020
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