| NPI | 1598246282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ROLAND Authorized Agent 336-623-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-04-06 |