Provider Demographics
NPI:1841633237
Name:SOUTHPOINT SURGICAL PLLC
Entity type:Organization
Organization Name:SOUTHPOINT SURGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCHUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-519-9962
Mailing Address - Street 1:5309 HIGHGATE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8501
Mailing Address - Country:US
Mailing Address - Phone:919-519-9962
Mailing Address - Fax:919-896-1708
Practice Address - Street 1:5309 HIGHGATE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8501
Practice Address - Country:US
Practice Address - Phone:919-519-9962
Practice Address - Fax:919-896-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300175207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty