| NPI | 1821306150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KAYE MARTIN Practice Administrator 336-954-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 26162) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-11-10 |