| NPI | 1619022779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT CLAUSER President 336-625-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy (Licence: NC AS0054) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-02-21 |