| NPI | 1649616160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R ELLINGTON Owner 828-398-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2026-04-08 |