Individual
JOHN DAVID MAHARREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2704 W OXFORD LOOP, SUITE 117, OXFORD, MS 38655-5714
(662) 550-4299
Mailing address
2704 W OXFORD LOOP, SUITE 117, OXFORD, MS 38655-5714
(662) 550-4299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163517
TN
367500000X
Certified Registered Nurse Anesthetist
0024171086
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
22072
TN
367500000X
Certified Registered Nurse Anesthetist
A810705
MS
Other
Enumeration date
04/30/2013
Last updated
02/23/2017
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