Organization Name: | SURGERY CENTER OF PINEHURST, LLC |
NPI Number: | 1003860917 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY HARBOUR (ADMINISTRATOR) |
Mailing Address: | 10 First Village Drive Pinehurst |
State: | NC US |
Postal Code: | 28374 |
Phone Number: | 9102355000 |
Fax Number: | 9102955739 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 34C0001114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |