Healthcare Provider Details

I. General information

NPI: 1992685861
Provider Name (Legal Business Name): NOVANT HEALTH BRUNSWICK SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 OCEAN HWY E
LELAND NC
28451-7867
US

IV. Provider business mailing address

2085 FRONTIS PLAZA BLVD FL 3
WINSTON SALEM NC
27103-5614
US

V. Phone/Fax

Practice location:
  • Phone: 910-660-4600
  • Fax:
Mailing address:
  • Phone: 336-277-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SMITH-JONES
Title or Position: VP ASC OPERATIONS
Credential:
Phone: 704-907-3705