Organization
PIEDMONT OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B. SHEALY M.D. (MEDICAL DIRECTOR)
(336) 768-3361
Entity
Organization
Contact information
Practice address
2465 HANESTOWN LANE, WINSTON-SALEM, NC 27103
(336) 201-0003
(336) 464-0736
Mailing address
2465 HANESTOWN LANE, WINSTON-SALEM, NC 27103
(336) 201-0003
(336) 464-0736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
03/14/2012
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