NPI | 1497084982 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHANCE Administrator 919-783-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC ASO111) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2024-04-10 |