Organization
SURGERY CENTER AT PELHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL HAZEN (ADMINISTRATOR)
(864) 560-5555
Entity
Organization
Contact information
Practice address
2755 S HIGHWAY 14, GREER, SC 29650-4926
(864) 560-5555
(864) 560-5542
Mailing address
13740 CYPRESS TERRACE CIR, STE 501-503, FORT MYERS, FL 33907-8827
(239) 274-1000
(239) 274-1001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-091
SC
Other
Enumeration date
06/16/2005
Last updated
12/19/2007
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