Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1982696894 |
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| LBN Legal business name | AFFILIATED AMBULATORY SURGERY CENTER LLC | ||||||||||||
| Authorized official | DWIGHT SCARBOROUGH - (MEDICAL DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/17/2005 | ||||||||||||
| Last updated | 02/04/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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