| NPI | 1437488467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM GALLAND Secretary 919-562-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2018-01-17 |