Healthcare Provider Details

I. General information

NPI: 1326085770
Provider Name (Legal Business Name): CLOUD SURGICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 FOOTHILLS DR
MORGANTON NC
28655-5152
US

IV. Provider business mailing address

PO BOX 1807
MORGANTON NC
28680-1807
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-0847
  • Fax: 828-432-9722
Mailing address:
  • Phone: 828-437-0847
  • Fax: 828-432-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: WILLIAM G CLOUD
Title or Position: PRESIDENT
Credential: MD
Phone: 828-437-0847