Search › Mississippi › 367500000X
Crawford Wallace, CRNA
NPI 1598108896 · on the registry since 2013 · sole proprietor
Practice
- Address
- 32 Clear Sky Dr
Carriere, MS 39426 - Phone
- (601) 337-0700
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi