| NPI | 1336210921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THURMOND ERIC SICELOFF Vice President 336-835-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 388) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |