| NPI | 1588720072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTHOSH AUGUSTINE President 910-739-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 138988) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-01-24 |