NPI | 1134684814 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE HEATER Director Of Operations 919-329-2882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-02-06 |
Last Update Date | 2020-02-17 |