| NPI | 1518975887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DALE HILLIARD CFO 336-899-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-06-23 |