| NPI | 1861746463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JANE WILSON Owner 910-286-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P0153) |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2012-11-04 |