Organization
GI ALLIANCE ANESTHESIA OF MISSISSIPPI PLLC
Active
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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