NPI | 1235504457 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT SHEAR CFO 704-323-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2015-12-14 |
Last Update Date | 2025-09-12 |