| NPI | 1093195034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEANNE LEE Manager 770-862-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 154529) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |