Surgery & Laser Center At Professional Park Llc in Clinton - Ambulatory Surgical
Surgery & Laser Center At Professional Park Llc - NPI 1477628725
Surgery & Laser Center At Professional Park Llc is a Ambulatory Surgical in Clinton, South Carolina. Surgery & Laser Center At Professional Park Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Surgery & Laser Center At Professional Park Llc is 1477628725. The last update date is 2015-03-30.
Surgery & Laser Center At Professional Park Llc's current location address is 136 Professional Park Drive, Clinton, South Carolina. You can contact this provider via phone number 8649389836 and fax number 8649389838. The mailing address for Surgery & Laser Center At Professional Park Llc is 136 Professional Park Drive, Clinton, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgery & Laser Center At Professional Park Llc |
|---|---|
| Address | 136 Professional Park Drive, Clinton, South Carolina |
| Phone Number | 8649389836 |
| Fax Number | 8649389838 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MEMB |
|---|---|
| Authorized Official Name | Montgomery Jacob Samuel |
| Credentials | MD |
| Telephone Number | 8649389836 |
NPI Number Detail
| NPI Number | 1477628725 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2015-03-30 |
Provider Mailing Address Detail
| Address | 136 Professional Park Drive |
|---|---|
| City | Clinton |
| State | South Carolina (SC) |
| Post Code | 29325 |
| Phone Number | 8649389836 |
| Fax Number | 8649389838 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
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Post Comment/ Review Below
What is the unique identifier code issued to Surgery & Laser Center At Professional Park Llc by the Centers for Medicare & Medicaid Services?
The Surgery & Laser Center At Professional Park Llc has been assigned the NPI (National Provider Identifier) 1477628725. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Surgery & Laser Center At Professional Park Llc's facilities are geographically located?
The facilities of Surgery & Laser Center At Professional Park Llc are physically situated at the following location: 136 Professional Park Drive, Clinton, SC, 29325.
What is Surgery & Laser Center At Professional Park Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Surgery & Laser Center At Professional Park Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
When did the Surgery & Laser Center At Professional Park Llc receive its 1477628725?
The Surgery & Laser Center At Professional Park Llc was issued its 1477628725 on 2006-11-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Surgery & Laser Center At Professional Park Llc most recently updated?
The details pertaining to the Surgery & Laser Center At Professional Park Llc, including its address, specialty, and other relevant information, were last refreshed on 2015-03-30.