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Organization
PRIME SURGICAL SUITES, LLC
Active
Organization
PRIME SURGICAL SUITES, LLC
Active
Other names
SCSV, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN SHADOWENS (VP, CFO)
(828) 757-5100
Entity
Organization
Contact information
Practice address
180 RIVERBEND DR, GRANITE FALLS, NC 28630
(828) 757-5100
Mailing address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/22/2019
Last updated
11/08/2024
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