| NPI | 1467329532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI CUNNINGHAM Vice President Of Operations 336-240-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |