| NPI | 1366984148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE DELLINGER Owner 843-422-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2017-09-14 |