| NPI | 1922402445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GORDON BARTON Owner Manager 888-408-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN146149) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2021-07-11 |