Organization
LAKESIDE SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY B HALL M. D., F.A.C.S (PRESIDENT)
(704) 664-6677
Entity
Organization
Contact information
Practice address
150 FAIRVIEW RD, SUITE 300, MOORESVILLE, NC 28117-9504
(704) 664-6677
(704) 663-1009
Mailing address
150 FAIRVIEW RD, SUITE 300, MOORESVILLE, NC 28117-9504
(704) 664-6677
(704) 663-1009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9600335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938320
—
NC
Enumeration date
01/25/2007
Last updated
07/06/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us