| NPI | 1902525645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH D HOUSTON Business Office Manager 704-349-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-12-20 |