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Organization
UNIVERSITY SURGERY CENTER LLC
Active
Organization
UNIVERSITY SURGERY CENTER LLC
Active
Other names
Mallard Creek Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization
Contact information
Practice address
9848 N TRYON ST, SUITE 200, CHARLOTTE, NC 28262-5512
(704) 548-5200
(704) 323-3933
Mailing address
PO BOX 117444, ATLANTA, GA 30368-7444
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00000
NC
Other
Enumeration date
07/30/2013
Last updated
11/10/2023
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