| NPI | 1417919390 |
|---|---|
| Doing Business As | FAYETTEVILLE ORTHOPAEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAMES ERWIN JOHNSON Practice Administrator 910-223-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-05-04 |