| NPI | 1982742581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON G. COTTON Administrator 843-902-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3024) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2008-04-20 |