NPI | 1548696925 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN BLAKE BENEFIELD Manager 228-860-0820 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R874062) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R863937) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MS R867945) | |
Enumeration Date | 2013-09-17 |
Last Update Date | 2016-10-11 |