| NPI | 1366746588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN MILTON ISOM CEO 901-797-9711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |