| NPI | 1619558350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T MITCHELL Managing Mbr 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |