NPI | 1740212174 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM B FAIRCLOTH President 251-450-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 16395) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AL 20439) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |