| NPI | 1154422913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL HARLEY GILL C.E.O. 704-342-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 2471C3402X Radiologic Technologist, Radiography | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |