| NPI | 1033189360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET JARRETT Executive Director 252-255-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0053) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-02-06 |