| NPI | 1043191661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DIGIACOMO Revenue Cycle Manager 910-484-7070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-10-10 |