NPI | 1316540636 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES M PROCTOR Director 843-488-1895 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2020-11-19 |
Last Update Date | 2021-07-14 |