Organization
ASSOCIATES IN SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H ELLIS M.D. (PRESIDENT)
(843) 349-7090
Entity
Organization
Contact information
Practice address
2361 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-7291
(843) 347-0139
Mailing address
PO BOX 1880, CONWAY, SC 29528-1880
(843) 347-7291
(843) 347-0139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC4964
—
SC
Enumeration date
05/11/2006
Last updated
12/31/2013
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