| NPI | 1528521887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD OSBORNE GREEN Administrator Asc 336-277-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2021-03-30 |