| NPI | 1073661492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA K ATCHLEY Office Manager 256-880-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-07-21 |