| NPI | 1184876682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS A PEMERTON Chief Operating Officer 706-767-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-07-02 |