| NPI | 1053500785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BASCOM WILLIAMSON Owner 704-838-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 9700161) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-02-15 |