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Organization
IREDELL SURGICAL ASSOCIATES, LLP
Active
Organization
IREDELL SURGICAL ASSOCIATES, LLP
Active
Other names
Iredell Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELKINS (ADMINISTRATOR)
(803) 448-1022
Entity
Organization
Contact information
Practice address
1720 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 871-0081
(704) 871-0086
Mailing address
1720 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 871-0081
(704) 871-0086
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00650
AMB SURG CTR BC/BS #
NC
05
—
3409866
—
NC
Enumeration date
08/30/2006
Last updated
01/29/2024
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