| NPI | 1326050790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J. FUNCK Executive Director 601-485-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-09-04 |