Organization
UNIVERSITY SURGERY CENTER LLC
Active
Other names
Mallard Creek Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization
Contact information
Practice address
9848 N TRYON ST, SUITE 200, CHARLOTTE, NC 28262-5512
(704) 548-5200
(704) 323-3933
Mailing address
PO BOX 117444, ATLANTA, GA 30368-7444
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00000
NC
Other
Enumeration date
07/30/2013
Last updated
11/10/2023
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