Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A83946 | CA |
NPI | 1003884305 |
---|---|
Provider Name | Carl Scott Ramsey |
First Address | Gulfport, MS 39502-1810 |
Second Address | Gulfport, MS 39503-4294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 10/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I14557 | (02) | CA |