| NPI | 1831337781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM MITCHELL Member, Manager 912-280-9977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2020-10-28 |