| NPI | 1679972632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION R MCMILLAN Medical Director / Owner 864-882-8850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |