| NPI | 1902177702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH K. BOGGS CFO/Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology |
| 207YS0012X Otolaryngology Sleep Medicine | |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 207YX0602X Otolaryngology Otolaryngic Allergy | |
| 207YX0901X Otolaryngology Otology & Neurotology | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |