NPI | 1285042028 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDOLPH SITES Executive Director 901-545-7125 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2014-07-24 |
Last Update Date | 2017-10-30 |