NPI | 1336185974 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY FAIRFIELD Credentialing Specialist 704-348-1855 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-08-22 |