| NPI | 1063667020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESH LAKSHMAN Physician/Owner 252-206-5622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0112) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-08-04 |