| NPI | 1104001742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE HONG MESSIER Owner 919-866-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200001800402) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200001338614) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-06-21 |