MEDICARE: ALAMANCE SURGICAL ASSOCIATES, P.A.

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	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0101F	OTHER	NC	BLUE CROSS GROUP ID

General Provider Information

NPI Number	:	1952363855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMANCE SURGICAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	STE 150
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-1888
Fax Number	:	336-538-1313

Provider Business Practice Location Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	STE 150
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-1888
Fax Number	:	336-538-1313

Authorized Official
Title or Position	:	OFFICE COORDINATOR
Name	:	MRS. MAUREEN C BYRNETT
Credential	:
Telephone Number	:	336-538-1888

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/29/2010

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