| NPI | 1063586980 |
|---|---|
| Other Name | CMC - UNIVERSITY CRNA |
| Entity Type | Organization |
| Authorized Contact | SPENCER LILLY Administrator 704-548-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-04-19 |