| 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 |