| NPI | 1205141801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREER Managing Director 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |