Individual
MR. WILLIAM F REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2005 HWY 82 WEST, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Mailing address
2005 HWY 82 WEST, GREENWOOD, MS 38930
(662) 455-4523
(662) 455-3790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R792327
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116958
—
MS
01
—
331003463
TAX ID#
MS
01
—
430078861
RAILROAD MEDICARE
MS
01
—
640901082
TAX ID#
MS
Enumeration date
06/09/2006
Last updated
07/08/2011
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