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NPI Code Detail

MEDICARE: WYLIE SURGERY CENTER

MEDICARE: WYLIE SURGERY CENTER
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1285586222
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYLIE SURGERY CENTER
Provider Business Mailing Address
First Line : 1240 COLONIAL COMMONS CT
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 209 S WYLIE ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2353
Country : US
Telephone Number : 803-285-4333
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : KEVIN NUSZ
Credential : MD
Telephone Number : 803-285-4333
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “WYLIE SURGERY CENTER ” Practice Location

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