| NPI | 1376885277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE LOUIS THOMAS Executive Director 919-587-4081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2015-12-10 |