| NPI | 1053358937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN STALLINGS President 601-936-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |