NPI | 1346645140 |
---|---|
Entity Type | Organization |
Authorized Contact | JANNINE DERANEY Administrator 678-592-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |