Organization
SURGICENTER SERVICES OF PITT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN TRIPP (PRESIDENT)
(252) 847-7700
Entity
Organization
Contact information
Practice address
102 BETHESDA DR, GREENVILLE, NC 27834-7201
(252) 847-7700
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-7700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00637
BCBS
NC
05
—
3409860
—
NC
Enumeration date
11/15/2005
Last updated
08/15/2008
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