| NPI | 1134777832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE CAREY President 336-883-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-09-03 |