| NPI | 1861670929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE BOYD President 910-790-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 35845) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-10-06 |