| NPI | 1245338557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE HOVIS GREENWAY Clinic Manager 704-377-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |