NPI | 1699256404 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD SEAN RAMBO COO 919-329-2882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1369) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |