| NPI | 1083003941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA RICARD NOLES Partner 803-917-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2021-12-09 |