Organization
PRIME SURGICAL SUITES, LLC
Active
Other names
SCSV, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN SHADOWENS (VP, CFO)
(828) 757-5100
Entity
Organization
Contact information
Practice address
180 RIVERBEND DR, GRANITE FALLS, NC 28630
(828) 757-5100
Mailing address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
11/08/2024
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