| NPI | 1275859787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T MITCHELL Business Manager 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-08-19 |