| NPI | 1568072189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE WOOD Office Manager 256-279-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-02-07 |