Provider Demographics
NPI:1952363855
Name:ALAMANCE SURGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ALAMANCE SURGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BYRNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-538-1888
Mailing Address - Street 1:1041 KIRKPATRICK RD
Mailing Address - Street 2:STE 150
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8148
Mailing Address - Country:US
Mailing Address - Phone:336-538-1888
Mailing Address - Fax:336-538-1313
Practice Address - Street 1:1041 KIRKPATRICK RD
Practice Address - Street 2:STE 150
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8148
Practice Address - Country:US
Practice Address - Phone:336-538-1888
Practice Address - Fax:336-538-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790101FMedicaid
NC0101FOtherBLUE CROSS GROUP ID
NC230510Medicare ID - Type UnspecifiedGROUP ID