| NPI | 1013196799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON C DEATLEY Vice President 704-604-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2009-02-26 |