Novant Health Clemmons Outpatient Surgery, LLC

NPI #1427697978 in Clemmons, North Carolina

Provider Information

NPI Number
1427697978
Entity Type
Organization
Organization Name
Novant Health Clemmons Outpatient Surgery, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 2, 2020
Last Updated
Jan 2, 2020

Practice Location

Address
7210 VILLAGE MEDICAL CIRCEL
Address 2
STE 235
ZIP Code
27012
Phone
(336) 893-3100

Authorized Official

Name
GERALD OSBORNE GREEN
Title
ADMINISTRATOR ASC
Phone
(336) 277-1782

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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