| NPI | 1720059249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN BOWLIN Physician Recruitment Coordinator 662-334-2005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-04-22 |