Brunswick Surgical Associates, Pllc in Supply - Vascular Surgery
Brunswick Surgical Associates, Pllc - NPI 1144206822
Brunswick Surgical Associates, Pllc is a Vascular Surgery in Supply, North Carolina. Brunswick Surgical Associates, Pllc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Brunswick Surgical Associates, Pllc is 1144206822. The last update date is 2020-08-22.
Brunswick Surgical Associates, Pllc's current location address is 6 Doctors Cir, Supply, North Carolina. You can contact this provider via phone number 9105754606 and fax number 9105754609. The mailing address for Brunswick Surgical Associates, Pllc is 6 Doctors Cir, Supply, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brunswick Surgical Associates, Pllc |
|---|---|
| Address | 6 Doctors Cir, Supply, North Carolina |
| Phone Number | 9105754606 |
| Fax Number | 9105754609 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Tillotson Mark |
| Credentials | M.D. |
| Telephone Number | 9105754606 |
NPI Number Detail
| NPI Number | 1144206822 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6 Doctors Cir |
|---|---|
| City | Supply |
| State | North Carolina (NC) |
| Post Code | 284624089 |
| Phone Number | 9105754606 |
| Fax Number | 9105754609 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 103114 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89015K7 | NC | -- |
Post Comment/ Review Below
What is the Brunswick Surgical Associates, Pllc's 1144206822?
The Brunswick Surgical Associates, Pllc's NPI (National Provider Identifier) Number is 1144206822. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brunswick Surgical Associates, Pllc?
The Brunswick Surgical Associates, Pllc is situated at 6 Doctors Cir, in the city of Supply, state of NC, with the zip code 284624089.
What is the Brunswick Surgical Associates, Pllc's specialty and taxonomy code?
The Brunswick Surgical Associates, Pllc's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date was the 1144206822 assigned to Brunswick Surgical Associates, Pllc?
The Brunswick Surgical Associates, Pllc was issued its 1144206822 on 2005-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brunswick Surgical Associates, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brunswick Surgical Associates, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.