NPI | 1790045409 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN PHILLIPS Office Manager 910-805-5578 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 20698) |
Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NC 20698) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2013-01-16 |