| NPI | 1649816380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE JERNIGAN GALLOWAY VP Payor Contracting 704-620-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-12-06 |