| NPI | 1447064308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CLIFTON RISSMILLER President 704-631-0002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |