MEDICARE: PERIOPERATIVE SPECIALISTS OF NORTH CAROLINA

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1285118802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERIOPERATIVE SPECIALISTS OF NORTH CAROLINA

Provider Business Mailing Address
First Line	:	2220 BIG LAKE CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6326
Country	:	US
Telephone Number	:	919-961-1154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 COLLEGE ST
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-2507
Country	:	US
Telephone Number	:	919-961-1154
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. SHERMAN C LEE
Credential	:	MD
Telephone Number	:	919-384-0700

Provider Enumeration Date	:	09/19/2018
Last Update Date	:	04/02/2025

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