Organization
PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC
Active
Other names
NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (EVP CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
14215 BALLANTYNE CORPORATE PL STE 210, CHARLOTTE, NC 28277-3873
(704) 316-2650
(704) 316-2653
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
12/18/2019
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