Gerald H Mcdaniel, CRNA | |
1646 Lower Centreville Rd, Centreville, MS 39631-4518 | |
(601) 645-5473 | |
Not Available |
Full Name | Gerald H Mcdaniel |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1646 Lower Centreville Rd, Centreville, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063448850 | NPI | - | NPPES |
00110285 | Medicaid | MS | |
P00245327 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R539686 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gerald H Mcdaniel, CRNA 1646 Lower Centreville Rd, Centreville, MS 39631-4518 Ph: (601) 645-5473 | Gerald H Mcdaniel, CRNA 1646 Lower Centreville Rd, Centreville, MS 39631-4518 Ph: (601) 645-5473 |
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