| NPI | 1275181422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH ATWELL Credentialing 276-783-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2020-04-23 |