| NPI | 1669742029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. MITCHELL Managing Member 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 0805370) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |