| NPI | 1982998050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DALE HILLIARD CFO 336-884-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |