Organization
ROCK HILL SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT FEDELE (PRACTICE ADMINISTRATOR)
(803) 324-5256
Entity
Organization
Contact information
Practice address
1721 EBENEZER RD, SUITE 175, ROCK HILL, SC 29732-4103
(803) 324-5256
(803) 328-0440
Mailing address
PO BOX 36070, ROCK HILL, SC 29732-0500
(803) 324-5256
(803) 328-0440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250665365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA3601
—
SC
Enumeration date
06/10/2005
Last updated
05/05/2008
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