NPI | 1861463374 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH D WHITLARK Owner 252-939-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
2085U0001X Radiology Diagnostic Ultrasound | |
208600000X Surgery | |
225100000X Physical Therapist | |
2471V0105X Radiologic Technologist Vascular Sonography | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2012-09-20 |