| NPI | 1396854485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY F. CHESIN Administrator 770-979-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |