| NPI | 1255582623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALEXANDER LEATHERWOOD President 478-986-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |