| NPI | 1750399127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARRY QUALLS Business Manager 423-283-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-07-27 |