| NPI | 1528039047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MOORE CFO 706-320-3077 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-10-31 |