# ATRIUM HEALTH HUNTERSVILLE ASC, LLC

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

## Provider details

- **NPI number:** 1952977563
- **Authorized official:** MS. JEAN LOUISE WILDASIN RN (ADMINISTRATOR)
- **Authorized official phone:** (704) 801-1701

## Contact information

- **Practice address:** 16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
- **Practice address phone:** (704) 801-1701
- **Practice address fax:** (704) 987-8403
- **Mailing address:** 16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
- **Mailing address phone:** (704) 801-1701
- **Mailing address fax:** (704) 987-8403

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 01/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 999999999999999999 | 9999999999999999 | — |