| NPI | 1598930364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN W WILKOWSKI Administrator 912-897-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 048743) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN135422) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 004917) | |
| 367H00000X Anesthesiologist Assistant (Licence: GA 2336) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |