| NPI | 1538148754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J CARROLL Pres 336-585-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2022-07-21 |