| NPI | 1437221660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROTHROCK Credentialing COO Rdinator 704-372-7974 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-02-07 |