Organization
PREMIER ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVID BAKSH MD (OWNER)
(845) 774-9778
Entity
Organization
Contact information
Practice address
300 REGENT PARK CT, GREENVILLE, SC 29607-6547
(833) 365-7246
Mailing address
300 REGENT PARK CT, GREENVILLE, SC 29607-6547
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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