| NPI | 1508293879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER Sr. Vice President 704-403-1780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2014-01-21 |