| NPI | 1639990260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A AZZATO Provider/Owner 910-454-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |