| NPI | 1104950450 |
|---|---|
| Doing Business As | CRNA BAPTIST |
| Entity Type | Organization |
| Authorized Contact | WILLIE P BROWN Director Of Patient Accounts 803-296-2342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2017-10-11 |