| NPI | 1861623316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WEISS President 865-293-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2021-04-12 |