| NPI | 1770839201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ELLINGTON President 828-210-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-09-18 |