| NPI | 1144286923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L BUNKER Administrator 336-794-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-10 |