| NPI | 1750414983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L BRYANT CEO 980-233-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1315) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-30 |