Individual
RUSSELL N WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
9360 COLLINSVILLE CIR, COLLINSVILLE, MS 39325-9174
(601) 626-0162
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R781015
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121569
—
MS
05
—
009974680
—
AL
01
—
730-02678
BLUE CROSS OF AL
AL
Enumeration date
08/17/2006
Last updated
07/08/2007
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