| NPI | 1568066256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI WRIGHT Credentialing Specialist 478-953-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |