| NPI | 1851950463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMPSON President 901-207-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-09-29 |