| NPI | 1124000260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TRIPP President 252-847-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0012) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-08-15 |