NPI | 1588853865 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WITTEN ALTIZER Physician/Owner 704-341-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X Phlebology (Licence: NC 9900407) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2013-10-28 |