Individual
MR. ALVIN RAY HAMILTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3533
Mailing address
300 PICADILLY DR, BATESVILLE, MS 38606-2100
(662) 563-9968
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R874579
MS
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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