Provider Demographics
NPI:1811027121
Name:PIEDMONT COLON & RECTAL SURGERY CENTER
Entity Type:Organization
Organization Name:PIEDMONT COLON & RECTAL SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GABOR
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOVENYHAZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-585-1636
Mailing Address - Street 1:11 DOCTORS PARK DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1024
Mailing Address - Country:US
Mailing Address - Phone:864-585-1636
Mailing Address - Fax:864-580-5402
Practice Address - Street 1:11 DOCTORS PARK DR
Practice Address - Street 2:SUITE 210
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1024
Practice Address - Country:US
Practice Address - Phone:864-585-1636
Practice Address - Fax:864-580-5402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9944208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty