| NPI | 1902909328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY RODRIGUEZ Ar & Credentialing Manager 336-794-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 40490) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-10-27 |