| NPI | 1568425361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRANTLEY WEST Owner/Physician 336-625-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2008-09-08 |