| NPI | 1225083918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT MCMAHAN Administrator 704-866-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 9600398) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |