| NPI | 1871928622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK RANDALL Anesthesiologist/Chief 912-350-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |