| NPI | 1487223814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSON Director Of Clinical Operations 919-562-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-06-01 |