Healthcare Provider Details

I. General information

NPI: 1831497023
Provider Name (Legal Business Name): SURRY REGIONAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 S SOUTH ST SUITE 100
MOUNT AIRY NC
27030-4450
US

IV. Provider business mailing address

PO BOX 1267
MOUNT AIRY NC
27030-1267
US

V. Phone/Fax

Practice location:
  • Phone: 336-719-2202
  • Fax: 336-719-0714
Mailing address:
  • Phone: 336-719-2202
  • Fax: 336-719-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. LEWIS THORP
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 336-972-3971