| NPI | 1760475537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARSHALL Office Manager 704-364-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-08-18 |