| NPI | 1770643835 |
|---|---|
| Other Name | BON SECOURS DEPAUL MEDICAL CENTER CRNA |
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-561-7672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-09-21 |