| NPI | 1497877161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M RIVES Physician 704-732-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC 9601702) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |