| NPI | 1437349636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK ZOELLNER President 910-295-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 37982) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 14261) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-03-25 |