| NPI | 1972252161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K NICKELL CFO 404-334-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-06-23 |