Organization
CHARLESTON SURGERY CENTER LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SARGENT JR. (CHIEF ADMINISTRATIVE OFFICER)
(843) 628-5816
Entity
Organization
Contact information
Practice address
130 EDGE ST, SUMMERVILLE, SC 29486
(843) 628-5816
(864) 630-7811
Mailing address
130 EDGE ST, SUMMERVILLE, SC 29486-3002
(843) 628-5816
(864) 630-7811
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490000945
HISTORICAL DATA
—
Enumeration date
04/20/2006
Last updated
10/28/2019
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