Individual
MR. THOMAS PETER GRANSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 STATE HIGHWAY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-7631
Mailing address
106 HIGH FOREST DR, TUPELO, MS 38801-0401
(662) 840-0918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R881120
MS
367500000X
Certified Registered Nurse Anesthetist
23164
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
R881120
MS
Other
Enumeration date
04/26/2012
Last updated
02/04/2025
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