| NPI | 1790943389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT K LARK President/Md 704-782-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0019) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |