Mr Randall W Graham, CRNA | |
1102 Constitution Ave, Meridian, MS 39301-4001 | |
(601) 484-3480 | |
Not Available |
Full Name | Mr Randall W Graham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 1102 Constitution Ave, Meridian, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184647885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R852105 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Central Reg Med Ctr | Laurel, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Central Clinics, Inc | 4385876655 | 100 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall W Graham, CRNA Po Box 2429, Murrells Inlet, SC 29576-2429 Ph: (843) 651-2624 | Mr Randall W Graham, CRNA 1102 Constitution Ave, Meridian, MS 39301-4001 Ph: (601) 484-3480 |
Jamey D. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9283 | |
Holly Marie Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-353-6341 Fax: 844-752-2164 | |
Katie P Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1926 23rd Ave, Meridian, MS 39301 Phone: 601-485-1131 | |
Myrna L. Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9920 | |
Mrs. Brandi Rashel Carmichael, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-533-6000 Fax: 601-553-6994 | |
Joe R Martin Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Joseph B Sayers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 |