| Organization Name: | CARTERET SURGERY CENTER PLLC |
| NPI Number: | 1083695514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY K MOORE (MEDICAL DIRECTOR) |
| Mailing Address: | 3714 Guardian Ave Ste W Morehead City |
| State: | NC US |
| Postal Code: | 285574322 |
| Phone Number: | 2522470314 |
| Fax Number: | 2522472031 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | AS0061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |