| NPI | 1376819649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDA MILLER LOWDER Sr. Vice President 704-403-4146 |
| Organization Subpart ? | |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-07-12 |