| NPI | 1922444520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT VERNON Medical Director 919-577-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: NC 9501139) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 9501139) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-07-09 |