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Organization
SURGERY CENTER OF PINEHURST, LLC
Active
Organization
SURGERY CENTER OF PINEHURST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK CRANSTON MHA, BSN, RN, CNOR (ADMINISTRATOR)
(910) 235-5010
Entity
Organization
Contact information
Practice address
10 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 235-5000
(910) 295-5739
Mailing address
PO BOX 63194, CHARLOTTE, NC 28263-3194
(910) 235-5000
(910) 295-5739
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
34C0001114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061T
BLUE CROSS BLUE SHIELD
NC
05
—
3409939
—
NC
01
—
611152900
US DEPT OF LABOR
—
Enumeration date
05/22/2006
Last updated
03/22/2023
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