# SURGERY CENTER OF CONWAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598227431
- **Authorized official:** KATHERINE JUDKINS (VICE PRESIDENT)
- **Authorized official phone:** (615) 240-3770

## Contact information

- **Practice address:** 1405 MAIN STREET, SUITE A, CONWAY, SC 29526-3568
- **Practice address phone:** (843) 488-1895
- **Practice address fax:** (843) 488-2898
- **Mailing address:** 1A BURTON HILLS BLVD., ATTN: L&C DEPT., SUITE 300, NASHVILLE, TN 37215-6153
- **Mailing address phone:** (615) 263-4011
- **Mailing address fax:** (615) 234-1720

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 12/12/2025
