| NPI | 1740252022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL RAGSDALE Director Of Finance 334-279-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-03-21 |