| NPI | 1821736075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRA LYNN BRINK VP, Wpp 919-350-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |