| NPI | 1154902021 |
|---|---|
| Doing Business As | SOUTHERN OFFICE-BASED ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | BRAXTON M HENDERSON President 901-493-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |