| NPI | 1770129066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK FORREST President 615-327-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-05-28 |