| NPI | 1306005343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN TILLINGER CEO 336-768-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0099) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-05-17 |