| NPI | 1790101541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADISESHA B REDDY President 205-345-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-18 |