| NPI | 1164772109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEANN KING Managing Director 423-639-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2024-03-21 |