| NPI | 1548927676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T MCELVEEN Owner 919-876-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261Q00000X |
| 174400000X Specialist | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |