Provider Demographics
NPI:1083212385
Name:CLOUD 9 ANESTHESIA , PLLC
Entity Type:Organization
Organization Name:CLOUD 9 ANESTHESIA , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOWS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:601-479-9807
Mailing Address - Street 1:9500 COLLINS DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39325-9166
Mailing Address - Country:US
Mailing Address - Phone:601-479-9807
Mailing Address - Fax:
Practice Address - Street 1:120 STONE CREEK BLVD STE 500
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8210
Practice Address - Country:US
Practice Address - Phone:601-420-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty