| NPI | 1770224875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-17 |