| NPI | 1124070115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A HAYES Business Office Manager 336-659-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-04-08 |