| NPI | 1306237938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CALLAN Owner, CEO 901-844-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2016-04-21 |