| NPI | 1760989925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNICE H GIST CEO/President 478-929-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-13 |