| NPI | 1942956123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BERLING Authorized Official 704-971-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-07-17 |