| NPI | 1407952567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA Y WARREN Office Assistant 912-267-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |