| NPI | 1538270731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN BAKER Owner 704-636-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 9900416) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103906) |
| 363A00000X Physician Assistant (Licence: NC 101229) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-12-01 |