# PREMIER ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043072168
- **Authorized official:** DR. JAVID BAKSH MD (OWNER)
- **Authorized official phone:** (845) 774-9778

## Contact information

- **Practice address:** 300 REGENT PARK CT, GREENVILLE, SC 29607-6547
- **Practice address phone:** (833) 365-7246
- **Mailing address:** 300 REGENT PARK CT, GREENVILLE, SC 29607-6547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024