NPI | 1821496050 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PRUITT Owner 678-580-1349 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2014-12-22 |
Last Update Date | 2014-12-23 |