| NPI | 1144542606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ZANNIS President/Owner 252-633-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: NC 200901125) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: NC 200901125) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-06-10 |