Organization
PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC
Active
Other names
Novant Health Ballantyne Outpatient Surgery
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
(336) 277-1065
(336) 277-9274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
10/04/2018
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