| NPI | 1801961875 |
|---|---|
| Other Name | CMC - PINEVILLE CRNA |
| Entity Type | Organization |
| Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-04-19 |