| NPI | 1801085352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D SHEW Registered Medical Assistant 336-667-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 40711) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 40711) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 40711) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-08-24 |