| NPI | 1114987476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WILLIAM THOMPSON Administrator 704-788-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-12-03 |