SOUTHEAST STONE CENTER NPI 1588718100

NPI Information

NPI: 1588718100
Provider Name: SOUTHEAST STONE CENTER

Doing Business As: SOUTHEAST STONE CENTER

Classification: Clinic/Center - 261QL0400X
Entity Type: Organization

Specialization: Lithotripsy

Address:
705 GRIFFITH ST STE 205
DAVIDSON, NC
ZIP 28036
Phone: (866) 828-0173
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SOUTHEAST STONE CENTER is a lithotripsy clinic center in Davidson, NC. SOUTHEAST STONE CENTER NPI is 1588718100. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Stone Center.

The provider's business location address is:

705 GRIFFITH ST STE 205
DAVIDSON, NC
ZIP 28036-307
Phone: (866) 828-0173

The provider's authorized official is Judy H Russell .
The authorized official title is Business Services Coordinator and has the following contact phone number (704) 896-2120.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QL0400X	Clinic/Center	Lithotripsy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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