| NPI | 1679570022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNE H TURNER Administrator 704-482-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NC AS0062) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2021-07-29 |