Most Relevant Information
Provider Data
| NPI Number: | 1003205238 |
| Provider Name: | MICHAEL J MCREYNOLDS CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R880370 |
Most Important Dates
| Enumeration Date: | 01/12/2015 |
| Last Updated: | 01/12/2015 |
Provider Practice Location
2100 HIGHWAY 61 N
VICKSBURG
MS
391838211
Practice Location Phone/Fax
| Phone: | 6018311146 |
| Fax: |
Provider Mailing Location
127 BRITTON CIR
FLOWOOD
MS
392328110
Provider Mailing Phone/Fax
| Phone: | 5713301646 |
| Fax: |