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NPI Code Detail

MEDICARE: CAROLINA SURGERY CENTER LLC

MEDICARE: CAROLINA SURGERY CENTER LLC
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/CenterPENDINGSC

General Provider Information

NPI Number : 1689863771
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 2536 LENGERS WAY
Second Line :
City : FORT MILL
State : SC
Zip : 29707-7126
Country : US
Telephone Number : 803-286-1481
Fax Number :
Provider Business Practice Location Address
First Line : 2536 LENGERS WAY
Second Line :
City : FORT MILL
State : SC
Zip : 29707-7126
Country : US
Telephone Number : 803-286-1481
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JAMES PATRICK WRIGHT
Credential :
Telephone Number : 615-465-7587
Provider Enumeration Date : 10/15/2007
Last Update Date : 07/31/2014

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Directions to “CAROLINA SURGERY CENTER LLC ” Practice Location

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