| NPI | 1053105114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOYT HARRIS REYNOLDS President 251-308-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology |
| 207N00000X Dermatology | |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-08-18 |