Organization
WAY SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY C WAY M.D. (OWNER)
(252) 247-4769
Entity
Organization
Contact information
Practice address
210 PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-4769
Mailing address
3025 BRECKINRIDGE BLVD, SUITE 120, DULUTH, GA 30096-7611
(678) 226-0022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86054
NC BCBS NUMBER
NC
05
—
8986054
—
NC
Enumeration date
06/14/2006
Last updated
02/25/2008
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