| NPI | 1437338571 |
|---|---|
| Doing Business As | SPORTS MEDICINE AND ORTHOPAEDIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY A. MORTENSON Senior Partner 336-275-6318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |