Organization · Type 2 NPI

Southpark Surgery Center LLC

Ambulatory Surgical Clinic/Center · Charlotte, NC

NPI number 1811940141 Active

Practice location

6035 Fairview Rd, Ste 300
Charlotte, NC 28210-3256

Mailing address

2085 Frontis Plaza Blvd
Winston-Salem, NC 27103-5614

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XAS0032 (NC)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1811940141

Southpark Surgery Center LLC's National Provider Identifier is 1811940141, issued on May 18, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Charlotte, NC. The record was last updated on Oct 26, 2010.