| NPI | 1073632600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA RIGDON Billing Service 678-838-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-18 |