| NPI | 1295157154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON JONES Business Manager 919-933-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 9500576) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |