| Organization Name: | MATTHEWS SURGERY CENTER, LLC |
| NPI Number: | 1013298926 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOREEN H DAVIS (ADMINISTRATOR) |
| Mailing Address: | 710 Park Center Dr Suite 100 Matthews |
| State: | NC US |
| Postal Code: | 281055012 |
| Phone Number: | 7048157880 |
| Fax Number: | 7048157878 |
| NPI Enumeration Date: | 09/06/2011 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |