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Organization
PIEDMONT OUTPATIENT SURGERY CENTER, LLC
Active
Organization
PIEDMONT OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B. SHEALY M.D. (MEDICAL DIRECTOR)
(336) 768-3361
Entity
Organization
Contact information
Practice address
2465 HANESTOWN LANE, WINSTON-SALEM, NC 27103
(336) 201-0003
(336) 464-0736
Mailing address
2465 HANESTOWN LANE, WINSTON-SALEM, NC 27103
(336) 201-0003
(336) 464-0736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2011
Last updated
03/14/2012
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