| NPI | 1255974226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF W MEYER Practice Administrator 706-868-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |