| NPI | 1639701980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HADLEY CALLAWAY Managing Member 919-863-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-07-01 |