| NPI | 1295948339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE PETERSON Practice Administrator 910-362-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0091) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-01-09 |