| NPI | 1174970669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH TURNER Authorized Official 334-279-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |