| NPI | 1386693950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DALE HILLIARD CFO 336-688-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-03-23 |