| NPI | 1114237500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE G JORDAN President 706-660-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2014-04-09 |