# VALLEYGATE SURGERY CENTER-MIDLAND LLC

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

## Provider details

- **NPI number:** 1093634891
- **Authorized official:** VIRGINIA JONES (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (910) 406-9455

## Contact information

- **Practice address:** 3225 SUNSET BLVD, WEST COLUMBIA, SC 29169-3453
- **Practice address phone:** (910) 406-9455
- **Practice address fax:** (910) 759-7441
- **Mailing address:** PO BOX 87701, FAYETTEVILLE, NC 28304-7701
- **Mailing address phone:** (910) 406-9455
- **Mailing address fax:** (910) 759-7441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/23/2026