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Organization
SURGICAL CENTER OF GREENSBORO, LLC
Active
Organization
SURGICAL CENTER OF GREENSBORO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRAHAM JR. (CHIEF ADMINISTRATIVE OFFICER)
(336) 272-0012
Entity
Organization
Contact information
Practice address
705 GREEN VALLEY RD, GREENSBORO, NC 27408-7019
(336) 272-0012
(336) 272-4063
Mailing address
705 GREEN VALLEY RD, GREENSBORO, NC 27408-7019
(336) 272-0012
(336) 272-4063
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409924
—
NC
Enumeration date
05/04/2006
Last updated
01/24/2019
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