NPI | 1043564602 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D NAQUIN President 864-351-9516 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |