Organization
PIEDMONT GENERAL SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
200 S HERLONG AVE, SUITE G, ROCK HILL, SC 29732-3399
(803) 909-6300
(803) 909-6310
Mailing address
PO BOX 741841, ATLANTA, GA 30374-1841
(803) 909-6300
(803) 909-6310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5793
—
SC
Enumeration date
08/17/2011
Last updated
04/19/2013
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