| NPI | 1215250972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM ADEL HAMDY Owner 276-634-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0101241736) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 2009-01887) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |