| NPI | 1356859870 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CYNTHIA J HAMILTON Owner/ Provider 423-779-6204  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered | 
| Enumeration Date | 2018-01-18 | 
| Last Update Date | 2018-03-13 |