| NPI | 1902864770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD L SHACKELFORD President 740-695-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2014-02-10 |