| NPI | 1679521165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L BRYANT CEO 980-233-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 208200000X Plastic Surgery | |
| 207N00000X Dermatology | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-06-17 |