PIEDMONT OUTPATIENT SURGERY CENTER LLC NPI 1760773949

NPI Information

PIEDMONT OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Winston-salem, NC. PIEDMONT OUTPATIENT SURGERY CENTER, LLC NPI is 1760773949. The provider is registered as an organization entity type.

The provider's business location address is:

2465 HANESTOWN LANE
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 201-0003
Fax: (336) 464-0736

The provider's authorized official is Ronald B. Shealy .
The authorized official title is Medical Director and has the following contact phone number (336) 768-3361.

The CLIA number assigned to this NPI record is 34D2035632 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2011 and was last updated on 3/14/2012.

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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