| NPI | 1659791150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CHRISTOPHER CABLE Owner 770-436-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |