| NPI | 1962470708 |
|---|---|
| Doing Business As | SRMC-CRNA |
| Entity Type | Organization |
| Authorized Contact | C. THOMAS JOHNSON V. P. Finance 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-02-23 |