Organization
PINEHURST SURGICAL CLINIC PA
Active
Parent organization
PINEHURST SURGICAL CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINEHURST SURGICAL CLINIC PA
Authorized official
CHARLES GREGG (CHIEF EXECUTIVE OFFICER)
(910) 295-6831
Entity
Organization
Contact information
Practice address
1705B BERWICK DR, LAURINBURG, NC 28352-5523
(910) 277-0509
Mailing address
5 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
11/14/2007
Last updated
07/20/2020
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