Organization
BEARWOOD AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY D. GIBSON NURSE ADMINISTRATOR (NURSE ADMINISTRATOR)
(864) 226-7371
Entity
Organization
Contact information
Practice address
3031 N HIGHWAY 81, ANDERSON, SC 29621-3621
(864) 226-7371
(864) 226-8367
Mailing address
3031 N HIGHWAY 81, ANDERSON, SC 29621-3621
(864) 226-7371
(864) 226-8367
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410184
—
SC
Enumeration date
06/22/2005
Last updated
05/09/2008
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