Individual
MRS. CARLY B MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
221 BOXWOOD CIR, BRANDON, MS 39047-8004
(601) 942-1594
Mailing address
221 BOXWOOD CIR, BRANDON, MS 39047-8004
(601) 942-1594
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R859306
MS
Other
Enumeration date
09/21/2006
Last updated
03/20/2013
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