NPI | 1114194024 |
---|---|
Doing Business As | ZACK J. WATERS JR.,GENERAL OUTPATIENT SURGERY |
Entity Type | Organization |
Authorized Contact | SUSAN S GERARD Phsyician Practice Administrator 252-975-4203 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2008-05-09 |
Last Update Date | 2010-03-03 |