| NPI | 1114927738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS ABDOU Authorized Official 423-224-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-12-20 |