| NPI | 1811404999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E FOGARTIE President 919-605-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 9700951) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |