| NPI | 1225623010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-06-20 |