Organization
MAC ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY A COOK CRNA (OWNER/MEMBER)
(321) 443-7254
Entity
Organization
Contact information
Practice address
3353 N GLOSTER ST, TUPELO, MS 38804-9735
(321) 443-7254
Mailing address
103 JEAN JANE LN, TUPELO, MS 38804-9113
(321) 443-7254
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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