| NPI | 1558416255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZE S SEGERS Billing Supervisor 336-886-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NC 137733) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-06-24 |