Individual
JOHN F MCCRORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
104 HORAN ST, LEXINGTON, MS 39095-3413
(662) 834-4084
Mailing address
104 HORAN ST, LEXINGTON, MS 39095-3413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R688487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123021
—
MS
01
—
R688487
STATE LICENSE
MS
Enumeration date
06/12/2007
Last updated
07/09/2007
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