| NPI | 1235173691 |
|---|---|
| Former Legal Business Name | ST DOMINIC EMERGENCY ROOM |
| Entity Type | Organization |
| Authorized Contact | KARL HATTEN Director 601-200-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208600000X Surgery | |
| 367H00000X Anesthesiologist Assistant | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-08-11 |