| NPI | 1740666346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY S NEVILLE Billing Manager 912-682-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |