| NPI | 1811944705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE STANLEY Office Manager 770-874-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |