Organization
PERIOPERATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY S CLONINGER (EXECUTIVE DIRECTOR)
(704) 831-3100
Entity
Organization
Contact information
Practice address
1822 BRUNSWICK AVE, CHARLOTTE, NC 28207-1820
(704) 831-3100
Mailing address
1822 BRUNSWICK AVE, CHARLOTTE, NC 28207-1820
(704) 831-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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