NPI | 1194073395 |
---|---|
Former Legal Business Name | SHOALS ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | LEE NICHOLS President 256-718-4041 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-08-17 |