| NPI | 1518231554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. MITCHELL Business Manager 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |