| NPI | 1871603431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W CARMODY President 276-236-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101233327) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-09 |