Organization
PINEHURST SURGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GREGG (CEO)
(910) 295-6831
Entity
Organization
Contact information
Practice address
5 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Mailing address
PO BOX 2000, PINEHURST, NC 28374-2000
(910) 295-6831
(910) 295-0244
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
07/07/2006
Last updated
10/05/2023
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