| NPI | 1952510265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN B FANN Owner 828-687-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 33034) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |