# IREDELL SURGICAL ASSOCIATES, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iredell Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437269800
- **Authorized official:** MS. MARY ELKINS (ADMINISTRATOR)
- **Authorized official phone:** (803) 448-1022

## Contact information

- **Practice address:** 1720 DAVIE AVE, STATESVILLE, NC 28677-3522
- **Practice address phone:** (704) 871-0081
- **Practice address fax:** (704) 871-0086
- **Mailing address:** 1720 DAVIE AVE, STATESVILLE, NC 28677-3522
- **Mailing address phone:** (704) 871-0081
- **Mailing address fax:** (704) 871-0086

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00650 | AMB SURG CTR BC/BS \# | NC |
| 05 | — | 3409866 | — | NC |