| NPI | 1255482550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRISON JACQUITTE Owner 770-929-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-12-28 |