Organization
VALLEYGATE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA KENNERSON (DIRECTOR OF STRATEGIC DEVELOPMENT)
(337) 356-7044
Entity
Organization
Contact information
Practice address
305 TIMBER DRIVE, GARNER, NC 27529
(919) 276-0900
Mailing address
305 TIMBER DRIVE, GARNER, NC 27529
(919) 276-0900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/04/2025
Last updated
09/08/2025
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