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Organization
NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
Active
Organization
NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD OSBORNE GREEN (ADMINISTRATOR ASC)
(336) 277-1782
Entity
Organization
Contact information
Practice address
7210 VILLAGE MEDICAL CIRCLE, SUITE # 235, CLEMMONS, NC 27012
(336) 893-3100
(336) 893-3109
Mailing address
101 N CHERRY ST STE 600, WINSTON SALEM, NC 27101-4013
(336) 277-1604
(336) 277-9584
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/12/2019
Last updated
03/30/2021
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