| NPI | 1437907037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHNSON Medical Director 910-742-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-07-15 |