| NPI | 1427074012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW T HEARN President 336-585-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200600019) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-01-23 |