NPI | 1750625927 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER KOZAK Administrator 828-278-9230 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 9901411) |
Enumeration Date | 2012-11-12 |
Last Update Date | 2025-01-21 |