| NPI | 1376343996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA WALTON Rcs Manager 336-515-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-04-21 |