| NPI | 1508221037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA POOLE Owner 843-251-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4073) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |