Healthcare Provider Details

I. General information

NPI: 1063382463
Provider Name (Legal Business Name): PREMIER AMBULATORY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N MAIN ST
HOPE MILLS NC
28348-1897
US

IV. Provider business mailing address

2047 VALLEYGATE DR
FAYETTEVILLE NC
28304-3688
US

V. Phone/Fax

Practice location:
  • Phone: 910-485-3937
  • Fax: 910-221-3671
Mailing address:
  • Phone: 910-221-3670
  • Fax: 910-221-3671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WOODCOCK
Title or Position: CEO
Credential: MD
Phone: 910-221-3670