| NPI | 1083696926 |
|---|---|
| Doing Business As | MID CAROLINA CROSSROADS SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KYLE BURTNETT SVP Of Outpatient Services, Tenet 469-893-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-05-26 |