| NPI | 1346265287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W NUCKOLLS Administrator 252-514-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-03-21 |