| NPI | 1740812221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN JONES-QUAIDOO CEO 241-452-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |