| NPI | 1225225592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP STACK Owner 828-349-3636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0097) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-05-21 |