| NPI | 1275938862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY BENTON SMITH Owner/Sole Provider 901-619-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123239) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2015-04-22 |