| NPI | 1922677921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-05-23 |