Organization
ENDOSCOPY CENTER - HUNTERSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROTHROCK (CREDENTIALING COORDINATOR)
(704) 372-7974
Entity
Organization
Contact information
Practice address
16455 STATESVILLE RD, HUNTERSVILLE, NC 28078-7135
(704) 446-5193
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-8485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
02/07/2023
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