| NPI | 1124172200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUEGANG CHEN President 336-793-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 104094) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |