| NPI | 1790037422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BALLINGER Administrator 478-929-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2020-07-24 |