| NPI | 1215263082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS WAID Senior Vice President 336-713-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2021-03-16 |