| NPI | 1801291646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GAYNES Registered Agent 404-467-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN191954) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-01-26 |