Pinehurst Surgical Clinic PA
Surgery in Laurinburg, NC. Organization (NPI-2).
NPI number1265613624
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1265613624
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinehurst Surgical Clinic PA
- Organization subpart
- Yes
- Enumeration date
- Nov 14, 2007
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 2086S0129X | – | – | ||
| 208800000X | Urology | – | – | |
| 207T00000X | Neurological Surgery | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Practice location
1705b Berwick DrLaurinburg, NC 28352-5523
Phone 910-277-0509
Mailing address
5 First Village DrivePinehurst, NC 28374
Phone 910-295-6831 · Fax 910-295-0244
Authorized official
Charles Gregg
Chief Executive Officer
9102956831
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All 8 Surgery Physician providers in Laurinburg · All 697 providers in Laurinburg
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