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Organization

MILLENNIUM ASC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(864) 695-1270
Entity
Organization

Contact information

Practice address
214 INNOVATION DR, GREENVILLE, SC 29607-5254
(513) 952-4792
Mailing address
214 INNOVATION DR, GREENVILLE, SC 29607-5254

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/22/2022
Last updated
01/22/2025
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