| NPI | 1023317245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T MITCHELL Business Manager 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-05-11 |