# TRIAD CENTER FOR SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kimel Park Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558983833
- **Authorized official:** WILLIAM MONTGOMERY (PRESIDENT)
- **Authorized official phone:** (615) 545-9132

## Contact information

- **Practice address:** 180 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6970
- **Practice address phone:** (202) 378-0139
- **Mailing address:** 180 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6970
- **Mailing address phone:** (336) 607-6610

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2020
- **Last updated:** 08/12/2026