| NPI | 1184097313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ADAMS Owner 678-580-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-05-17 |