| NPI | 1154392660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD D CULVERHOUSE Office Manager 478-922-9937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-07-21 |