Elizabeth Burris Mccrary in Hattiesburg - Family

Elizabeth Burris Mccrary - NPI 1508040551

Elizabeth Burris Mccrary is a Family in Hattiesburg, Mississippi. Elizabeth Burris Mccrary practices all healthcare services and medical treatments related to Family. The NPI Number for Elizabeth Burris Mccrary is 1508040551. The last update date is 2020-08-11.

Elizabeth Burris Mccrary's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795459 and fax number 6015795240. The mailing address for Elizabeth Burris Mccrary is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Burris Mccrary
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6015795459
Fax Number 6015795240
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1508040551
Provider Enumeration Date 2007-12-27
Last Updated Date 2020-08-11

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6015795459
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R875539
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2765313 MS CIGNA
1823854 MS --
972789 MS WINDSOR
P01334830 RAILROAD MEDICARE
9549215 MS AETNA
2908971 MS UNITED HEALTHCARE

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FAQs about Elizabeth Burris Mccrary

What is the unique identifier code issued to Elizabeth Burris Mccrary by the Centers for Medicare & Medicaid Services?

The Elizabeth Burris Mccrary has been assigned the NPI (National Provider Identifier) 1508040551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Elizabeth Burris Mccrary is geographically located?

The Elizabeth Burris Mccrary is physically situated at the following location: 415 S 28Th Ave, Hattiesburg, MS, 394017246.

What is Elizabeth Burris Mccrary's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elizabeth Burris Mccrary's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did the Elizabeth Burris Mccrary receive its 1508040551 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth Burris Mccrary was assigned its 1508040551 by the Centers for Medicare & Medicaid Services on 2007-12-27.

When was the Elizabeth Burris Mccrary's information last updated?

The Elizabeth Burris Mccrary's information was last updated on 2020-08-11.

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