| NPI | 1376533067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER EMORY President 276-623-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: VA 0101840454) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |