| Organization Name: | STONE INSTITUTE OF THE CAROLINAS LLC |
| NPI Number: | 1457377954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS M SURRATT (COO) |
| Mailing Address: | 215 South Main Street Su 201 Davidson |
| State: | NC US |
| Postal Code: | 280369307 |
| Phone Number: | 8008225525 |
| Fax Number: | 7048928790 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 08/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QL0400X |
| License Number: | NOT REQUIRED IN NC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Lithotripsy |
| Taxonomy Definition: | |