| NPI | 1295189082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GORDON President 865-293-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-02-18 |