| NPI | 1790062495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA K SMITH President 336-623-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA218) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |