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Individual

JOANNA MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5166
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5166

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R576859
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00111161
MS
01
P00356694
RAILROAD MEDICARE
MS
Enumeration date
07/24/2006
Last updated
03/27/2009
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