Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waverly Surgery Center, PA

Organization Surgery Physician · NPI 1790538817

Waverly Surgery Center, PA is a Surgery Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11210 Golf Links Dr N Ste 105
Charlotte, NC 28277
Phone: (704) 800-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1790538817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Beck — President · (650) 861-1115
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 4, 2024
Mailing address11210 Golf Links Dr N Ste 105, Charlotte, NC 28277

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