Healthcare Provider Details

I. General information

NPI: 1972874907
Provider Name (Legal Business Name): CAPITAL CITY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SUNNYBROOK RD SUITE 100
RALEIGH NC
27610-1855
US

IV. Provider business mailing address

23 SUNNYBROOK RD SUITE 100
RALEIGH NC
27610-1855
US

V. Phone/Fax

Practice location:
  • Phone: 919-322-4800
  • Fax: 919-231-1473
Mailing address:
  • Phone: 561-630-6277
  • Fax: 561-630-6062

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: MARGE AKERS
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 919-322-4800