# MILLENNIUM ASC LLC

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

## Provider details

- **NPI number:** 1861148512
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (864) 695-1270

## Contact information

- **Practice address:** 214 INNOVATION DR, GREENVILLE, SC 29607-5254
- **Practice address phone:** (513) 952-4792
- **Mailing address:** 214 INNOVATION DR, GREENVILLE, SC 29607-5254

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 01/22/2025