DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ATLANTIC SURGICENTER, LLC

MEDICARE: ATLANTIC SURGICENTER, 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/Center

General Provider Information

NPI Number : 1942334065
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC SURGICENTER, LLC
Provider Business Mailing Address
First Line : 9104 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-7994
Country : US
Telephone Number : 910-686-2840
Fax Number : 910-762-6364
Provider Business Practice Location Address
First Line : 9104 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-7994
Country : US
Telephone Number : 910-686-2840
Fax Number : 910-762-6364
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : DR. HORMOZE A GOUDARZI
Credential : MD
Telephone Number : 910-763-6571
Provider Enumeration Date : 03/14/2007
Last Update Date : 04/06/2009

Similar Medicare Providers

1366447344 — CHRISTOPHER A DIXON DO
Practice Location Address:
9104 MARKET ST
WILMINGTON, NC
28411-7994
Practice Phone: 910-686-2840
Practice Fax:
1629165568 — SEKINA ARNOLD SHOWERS CRNA
Practice Location Address:
9104 MARKET ST
WILMINGTON, NC
28411-7994
Practice Phone: 910-686-2840
Practice Fax:
1871660555 — JOHN C. BRADLEY CRNA
Practice Location Address:
9104 MARKET ST
WILMINGTON, NC
28411-7994
Practice Phone: 301-694-3400
Practice Fax: 301-694-3620
1104983477 — JI YUN REBEKAH ROBINSON CRNA
Practice Location Address:
9104 MARKET ST
WILMINGTON, NC
28411-7994
Practice Phone: 910-686-2840
Practice Fax:
1477603785 — BRENDA B HALL CRNA
Practice Location Address:
9104 MARKET ST
WILMINGTON, NC
28411-7994
Practice Phone: 910-686-2840
Practice Fax:
1649141623 — CRYSTAL LEIGH DELACRUZ
Practice Location Address:
226 BRIDGETON CT
WILMINGTON, NC
28411-8602
Practice Phone: 919-108-5905
Practice Fax:

Directions to “ATLANTIC SURGICENTER, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.