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Organization
ATRIUM HEALTH HUNTERSVILLE ASC, LLC
Active
Organization
ATRIUM HEALTH HUNTERSVILLE ASC, LLC
Active
Other names
Huntersville Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN LOUISE WILDASIN RN (ADMINISTRATOR)
(704) 801-1701
Entity
Organization
Contact information
Practice address
16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
(704) 801-1701
(704) 987-8403
Mailing address
16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
(704) 801-1701
(704) 987-8403
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999999999999
9999999999999999
—
Enumeration date
06/03/2021
Last updated
01/19/2024
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