SURGICAL CENTER OF GREENSBORO LLC NPI 1245288257

NPI Information

SURGICAL CENTER OF GREENSBORO, LLC is an ambulatory surgical clinic center in Greensboro, NC. SURGICAL CENTER OF GREENSBORO, LLC NPI is 1245288257. The provider is registered as an organization entity type.

The provider's business location address is:

705 GREEN VALLEY RD
GREENSBORO, NC
ZIP 27408-019
Phone: (336) 272-0012
Fax: (336) 272-4063

The provider's authorized official is Jennifer Graham .
The authorized official title is Chief Administrative Officer and has the following contact phone number (336) 272-0012.

The CLIA number assigned to this NPI record is 34D0238936 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/24/2019.

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:

Other Identifiers

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