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Organization

ATRIUM HEALTH HUNTERSVILLE ASC, LLC

Active
Other names
Huntersville Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEAN LOUISE WILDASIN RN (ADMINISTRATOR)
(704) 801-1701
Entity
Organization

Contact information

Practice address
16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
(704) 801-1701
(704) 987-8403
Mailing address
16455 STATESVILLE RD STE 100, HUNTERSVILLE, NC 28078-7137
(704) 801-1701
(704) 987-8403

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
999999999999999999
9999999999999999
Enumeration date
06/03/2021
Last updated
01/19/2024
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