| NPI | 1679738199 |
|---|---|
| Doing Business As | CANNON ORTHOPEDICS - DIVINA |
| Entity Type | Organization |
| Authorized Contact | NORMAN G RENTZ CEO 864-878-4791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2009-01-21 |