| NPI | 1235400318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. MITCHELL Business Manager 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA C3255198) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |