Novant Health Clemmons Outpatient Surgery, LLC
NPI #1528521887 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1528521887
- Entity Type
- Organization
- Organization Name
- Novant Health Clemmons Outpatient Surgery, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 12, 2019
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 7210 VILLAGE MEDICAL CIRCLE
- Address 2
- SUITE # 235
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012
- Phone
- (336) 893-3100
Authorized Official
- Name
- GERALD OSBORNE GREEN
- Title
- ADMINISTRATOR ASC
- Phone
- (336) 277-1782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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