Organization
SURGERY CENTER OF PINEHURST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK CRANSTON MHA, BSN, RN, CNOR (ADMINISTRATOR)
(910) 235-5010
Entity
Organization
Contact information
Practice address
10 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 235-5000
(910) 295-5739
Mailing address
PO BOX 63194, CHARLOTTE, NC 28263-3194
(910) 235-5000
(910) 295-5739
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
34C0001114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061T
BLUE CROSS BLUE SHIELD
NC
05
—
3409939
—
NC
01
—
611152900
US DEPT OF LABOR
—
Enumeration date
05/22/2006
Last updated
03/22/2023
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