MICAH ROGER WELBORN

LAUREL, MS
NPI1407289283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  871238)
Enumeration Date2013-08-15
Last Update Date2018-05-02
Business Address
MICAH ROGER WELBORN C.R.N.A
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-426-4000
Mailing Address
MICAH ROGER WELBORN C.R.N.A
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6167