NPI | 1902043185 |
---|---|
Entity Type | Organization |
Authorized Contact | LEROY BROADNAX Office Manager 704-544-6533 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
Enumeration Date | 2009-01-09 |
Last Update Date | 2009-01-09 |