| NPI | 1508218793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL F ERVIN Sr Vice President And CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-02-25 |