Organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Parent organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other names
UMMC-GRENADA CRNA SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Authorized official
MR. KEVIN COOK (CEO)
(601) 984-4113
Entity
Organization
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7000
Mailing address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
03/06/2014
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