| NPI | 1457635898 |
|---|---|
| Doing Business As | STATESVILLE ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-01-14 |