| NPI | 1548456478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KEARNS CFO 910-341-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NC 73991) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2022-06-16 |