Individual
CHANNING C TWYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056-5610
(601) 815-2005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25047
MS
207L00000X
Anesthesiology Physician
35192
AL
207L00000X
Anesthesiology Physician
56753
MN
207L00000X
Anesthesiology Physician
71483
TN
Other
Enumeration date
06/26/2012
Last updated
09/15/2025
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