| NPI | 1821068891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON EL TIMMONS President 704-866-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-08-19 |