Individual
MRS. SUMMER AUDRA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2370
Mailing address
130 N MONTGOMERY ST, PONTOTOC, MS 38863-2004
(662) 415-7125
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R865542
MS
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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