NPI | 1053782318 |
---|---|
Other Name | SOUTHEASTERN SPORTS MEDICINE AND ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | REGINA BURLESON Credentialing 828-694-8350 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2015-10-13 |
Last Update Date | 2021-04-21 |