# THE SURGERY CENTER AT SELF MEMORIAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of the Lakelands
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427044452
- **Authorized official:** MRS. VALARIE PRICE RN (DIRECTOR)
- **Authorized official phone:** (864) 725-7500

## Contact information

- **Practice address:** 101 ACADEMY AVE, GREENWOOD, SC 29646-3869
- **Practice address phone:** (864) 725-7500
- **Practice address fax:** (864) 725-7501
- **Mailing address:** 101 ACADEMY AVE, GREENWOOD, SC 29646-3869
- **Mailing address phone:** (864) 725-7500
- **Mailing address fax:** (864) 725-7501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF055 | SC | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 12/22/2021