| NPI | 1770202947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PATRICK Owner 706-271-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |