MICHAEL SHANE KING

FLOWOOD, MS
NPI1992861298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R850443)
Enumeration Date2006-12-29
Last Update Date2017-11-02
Business Address
MICHAEL SHANE KING CRNA
2510 LAKELAND DR
FLOWOOD, MS 39232-9513
Phone number: 601-355-1234
Mailing Address
MICHAEL SHANE KING CRNA
2510 LAKELAND DR
FLOWOOD, MS 39232-9513
Phone number: 601-355-1234
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