| NPI | 1033660451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRAHAM Chief Administrative Officer 336-272-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0018) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-01-24 |