| NPI | 1275823049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP K HAYNIE President 865-777-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15504) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |