| NPI | 1003860917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK CRANSTON Administrator 910-235-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 34C0001114) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-03-22 |