| NPI | 1053770149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RICHARDSON Assistant Treasurer 704-631-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2025-10-03 |