| NPI | 1508230608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE LOUIS THOMAS Executive Director 919-587-4081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200201214) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |