NPI | 1679958136 |
---|---|
Doing Business As | PROVIDENCE SURGICAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JAMES L. WALKER President 251-633-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |