| NPI | 1699196022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY WALKER VP & Controller 678-690-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 367H00000X Anesthesiologist Assistant | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 208VP0000X | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2025-09-04 |