| NPI | 1104009539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ELAINE MCRAE-BERGERON Owner/Operator 706-835-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN035630) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2014-08-11 |