| NPI | 1942484365 |
|---|---|
| Doing Business As | TRACE REGIONAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | GARY L STATEN C.E.O. 662-456-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2018-11-19 |