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NPI Code Detail

MEDICARE: UNIFOUR SURGICAL ASSOICATES, PA

MEDICARE: UNIFOUR SURGICAL ASSOICATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CF8848OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10239GOTHERNCBCBS-NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083667364
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIFOUR SURGICAL ASSOICATES, PA
Provider Business Mailing Address
First Line : 1771 TATE BLVD SE
Second Line : SUITE 101
City : HICKORY
State : NC
Zip : 28602-4250
Country : US
Telephone Number : 828-322-9105
Fax Number : 828-328-4999
Provider Business Practice Location Address
First Line : 1771 TATE BLVD SE
Second Line : SUITE 101
City : HICKORY
State : NC
Zip : 28602-4250
Country : US
Telephone Number : 828-322-9105
Fax Number : 828-328-4999
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MRS. KAREN S HOLDEN
Credential :
Telephone Number : 828-267-6225
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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Directions to “UNIFOUR SURGICAL ASSOICATES, PA ” Practice Location

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