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Organization

TRIDENT AMBULATORY SURGERY CENTER, L.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MCKNIGHT (VP/CFO)
(972) 789-2816
Entity
Organization

Contact information

Practice address
9313 MEDICAL PLAZA DR, SUITE 102, CHARLESTON, SC 29406-9155
(843) 797-8992
(843) 797-4071
Mailing address
9313 MEDICAL PLAZA DR STE 102, CHARLESTON, SC 29406-9153
(843) 797-8992
(843) 797-4071

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF024
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410219
SC
Enumeration date
04/07/2006
Last updated
06/09/2026
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