| NPI | 1093946758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PELL FENDER Owner 336-275-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |