| NPI | 1902849607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M GILES Owner 931-454-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 207L00000X Anesthesiology (Licence: TN Individual Practione) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-04-01 |