| NPI | 1497187678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MACK HANNAN Self/Owner 803-293-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 571116450) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |