| NPI | 1063658961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY WALKER Vice President 678-690-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2021-12-21 |