| NPI | 1801446455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIE EASTERWOOD Anesthesiologist Assistant 706-346-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |