| NPI | 1558382671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MALCOLM LIGHTFOOT President 251-633-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 00006907) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 00026047) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-12-17 |