| NPI | 1508966599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MCCARRON Mgt Company Doc Rx 251-459-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 21829) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-07-10 |