# VALLEYGATE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1073497871
- **Authorized official:** ERICA KENNERSON (DIRECTOR OF STRATEGIC DEVELOPMENT)
- **Authorized official phone:** (337) 356-7044

## Contact information

- **Practice address:** 305 TIMBER DRIVE, GARNER, NC 27529
- **Practice address phone:** (919) 276-0900
- **Mailing address:** 305 TIMBER DRIVE, GARNER, NC 27529
- **Mailing address phone:** (919) 276-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 207LP3000X | Pediatric Anesthesiology Physician | — | NULL | — |
| 207LP3000X | Pediatric Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 09/08/2025