| NPI | 1801280508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M PRUITT Owner 678-580-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |