| NPI | 1699068783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R STAGGERS President Owner 251-929-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-07-17 |