| NPI | 1902900202 |
|---|---|
| Other Name | CRNA |
| Entity Type | Organization |
| Authorized Contact | JANICE F. WILKINS Administrator 276-694-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-04-20 |