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Organization
CHARLOTTE SURGERY CENTER, LLC
Active
Organization
CHARLOTTE SURGERY CENTER, LLC
Active
Parent organization
CHARLOTTE SURGERY CENTER, LLC
Other names
Charlotte Surgery Center-Wendover Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE SURGERY CENTER, LLC
Authorized official
THOMAS JAMES LALLY (CHIEF ADMINISTRATIVE OFFICER)
(704) 377-1647
Entity
Organization
Contact information
Practice address
3621 RANDOLPH RD STE 200, CHARLOTTE, NC 28211-0027
(704) 377-1647
Mailing address
3621 RANDOLPH RD STE 200, CHARLOTTE, NC 28211-0027
(704) 377-1647
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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