| NPI | 1750625927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KOZAK Administrator 828-773-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 9901411) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2014-09-10 |