Organization
NEWBERRY SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H CANTEY MD (OWNER/EMPLOYEE)
(912) 278-4819
Entity
Organization
Contact information
Practice address
2660 KINARD ST, NEWBERRY, SC 29108-2912
(912) 278-4819
Mailing address
2660 KINARD ST, NEWBERRY, SC 29108-2912
(803) 597-5225
(803) 597-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188175
—
SC
Enumeration date
03/15/2019
Last updated
06/28/2024
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