| NPI | 1831493865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANDRA HARGROVE Delegated Official/Provider Cord. 678-690-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-08-24 |