Organization
GI ALLIANCE ANESTHESIA OF MISSISSIPPI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN WILEY CRNA (VP ANESTHESIA SERVICES)
(817) 774-7197
Entity
Organization
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
Mailing address
PO BOX 201435, DALLAS, TX 75320-1435
(817) 402-7526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
11/05/2024
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