| 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 |