NPI | 1942637608 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY TEEL President 770-643-5501 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
208VP0000X Pain Medicine Pain Medicine | |
208VP0014X Pain Medicine Interventional Pain Medicine | |
367500000X Nurse Anesthetist, Certified Registered | |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2013-09-26 |
Last Update Date | 2013-10-02 |