PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC NPI 1215061049

NPI Information

PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC is an ambulatory surgical clinic center in Charlotte, NC. PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC NPI is 1215061049. The provider is registered as an organization entity type.
The provider Is Doing Business As Novant Health Ballantyne Outpatient Surgery.

The provider's business location address is:

14215 BALLANTYNE CORPORATE PL STE 210
CHARLOTTE, NC
ZIP 28277-873
Phone: (704) 316-2650
Fax: (704) 316-2653

The provider's authorized official is Fred M. Hargett .
The authorized official title is Evp Cfo and has the following contact phone number (704) 384-5184.

The CLIA number assigned to this NPI record is 34D1066796 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 10/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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