| NPI | 1285610956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES MONSON Regestered Agent 704-998-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NC 86420) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-10-18 |