| NPI | 1346207875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MURPHY Chief Administrative Officer 336-294-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-07-12 |