| NPI | 1871755603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L MAISENHELDER Chief Executive Officer 910-815-0889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 40135) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |