| NPI | 1841546892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP KENT HAYNIE President 865-777-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2014-04-14 |