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Organization

PARKRIDGE SURGERY CENTER LLC

Active
Parent organization
PARKRIDGE SURGERY CENTER LLC
Other names
Parkridge Surgery Center LLC CRNA
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARKRIDGE SURGERY CENTER LLC
Authorized official
EMILIE M KEENE (ADMINISTRATOR)
(803) 407-4950
Entity
Organization

Contact information

Practice address
190 PARKRIDGE DR STE 108, COLUMBIA, SC 29212-1748
(803) 296-2548
(803) 296-2548
Mailing address
190 PARKRIDGE DR STE 108, COLUMBIA, SC 29212-1748
(803) 296-2548
(803) 296-2548

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-078
SC

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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