| NPI | 1720520455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ADAMS President 678-580-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2019-01-15 |