NPI | 1649090275 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM B HIGGINBOTHAM President/CEO 667-234-3162 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
Enumeration Date | 2024-10-17 |
Last Update Date | 2024-10-17 |