| NPI | 1366908469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SKIPPER BURLESON Administrator 910-660-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2022-08-11 |