Organization
SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC
Active
Other names
Surgery & Laser Center at Professional Park LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BECKER (CFO)
(914) 391-4921
Entity
Organization
Contact information
Practice address
136 PROFESSIONAL PARK RD, CLINTON, SC 29325-7529
(864) 938-9836
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
SC
Other
Enumeration date
11/22/2006
Last updated
04/28/2026
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