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 |