| NPI | 1619124401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY J. SAMMIS Chief Executive Offi 704-717-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 34C001149) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-07-13 |