| NPI | 1437713971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A HICKS Managing Member 336-407-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-03-27 |