| NPI | 1104064765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WACHOWIAK President 770-945-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-04-24 |