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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRAWFORD REED WALLACE JR., CRNA

Active Sole Proprietor

CRAWFORD REED WALLACE JR., CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in CARRIERE, Mississippi. NPI 1598108896 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · CARRIERE, MS

Registration Details

NPI Number
1598108896
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2013 (13.308995153704 yrs)
Last Updated
Feb 22, 2016
Licenses
R881469 (MS)
R881469 (MS)
Sole Proprietor
Yes

Practice Information

Address
32 CLEAR SKY DR
CARRIERE, MS, 394267818
Browse MS providers · Browse ZIP 39426
Phone
6013370700
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in CARRIERE, MS

Name Credential NPI
SCOTT STEWART CARROLL CRNA 1740438399
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.