Organization
IREDELL SURGICAL ASSOCIATES, LLP
Active
Other names
Iredell Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELKINS (ADMINISTRATOR)
(803) 448-1022
Entity
Organization
Contact information
Practice address
1720 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 871-0081
(704) 871-0086
Mailing address
1720 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 871-0081
(704) 871-0086
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00650
AMB SURG CTR BC/BS #
NC
05
—
3409866
—
NC
Enumeration date
08/30/2006
Last updated
01/29/2024
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