| NPI | 1255986147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY WALKER Vice President Finance 678-690-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-02-13 |