Individual
BARRY DEAN AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
723 SKIPJACK CIR, SOUTHPORT, NC 28461-3076
(910) 358-4275
Mailing address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3800
(910) 457-3842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085588
NC
Other
Enumeration date
01/25/2006
Last updated
06/07/2017
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