| NPI | 1851184303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M. AVERILL Authorized Official 252-864-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-09-18 |