| NPI | 1376789248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUKAT A KHAN Md 336-538-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 9700308) |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2015-02-06 |