Individual provider · NPI-1

James Grossell, CRNA

Nurse Anesthetist, Certified Registered · Corinth, MS

NPI number1871697086
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1871697086
Entity type
Individual (NPI-1)
Name
James Grossell
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR556955MSYes

Practice location

401 Alcorn Dr
Corinth, MS 38834-9072

Phone 662-293-2000 · Fax 662-665-0857

Mailing address

Po Box 11407
Birmingham, AL 35246-1227

Phone 662-293-2000 · Fax 662-665-0857

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