| NPI | 1114471471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI LYNN HARVEY Vbo Director/Operations Manager 984-317-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 38818) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2026-08-17 |