| NPI | 1588061261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K. GARDNER VP Of Finance 704-384-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-05-26 |