| NPI | 1851548655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY J. SAMMIS CEO/CFO 704-377-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 34C001148) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |