Provider Demographics
NPI:1639701980
Name:ORTHOPAEDIC SURGERY CENTER OF PANTHER CREEK LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC SURGERY CENTER OF PANTHER CREEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HADLEY
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-863-6801
Mailing Address - Street 1:6715 MCCRIMMON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1916
Mailing Address - Country:US
Mailing Address - Phone:919-863-6801
Mailing Address - Fax:919-863-6842
Practice Address - Street 1:6715 MCCRIMMON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1916
Practice Address - Country:US
Practice Address - Phone:919-582-3050
Practice Address - Fax:919-582-3051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty