| NPI | 1023322369 |
|---|---|
| Doing Business As | SHOALS HOSPITAL - CRNA |
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2022-08-02 |