| NPI | 1932634029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDAY N REEBYE Owner 919-932-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 812162341) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2020-08-11 |