Organization
CAPITAL SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIS TIDMORE MD (PRESIDENT)
(919) 496-1050
Entity
Organization
Contact information
Practice address
1501 N BICKETT BLVD, SUITE A, LOUISBURG, NC 27549-2178
(919) 496-1050
(919) 496-0191
Mailing address
1501 N BICKETT BLVD, SUITE A, LOUISBURG, NC 27549-2178
(919) 496-1050
(919) 496-0191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2006
Last updated
04/29/2008
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