| NPI | 1962776807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. MITCHELL Business Manager 843-651-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-24 |