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NPI Code Detail

MEDICARE: SURRY REGIONAL HEALTH SERVICES, INC.

MEDICARE: SURRY REGIONAL HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician

General Provider Information

NPI Number : 1609864941
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURRY REGIONAL HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 1267
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-1267
Country : US
Telephone Number : 336-786-7669
Fax Number : 336-719-2492
Provider Business Practice Location Address
First Line : 830 ROCKFORD ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5322
Country : US
Telephone Number : 336-719-7000
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. WILLIAM JAMES
Credential :
Telephone Number : 336-719-7000
Provider Enumeration Date : 10/11/2005
Last Update Date : 01/14/2009

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Directions to “SURRY REGIONAL HEALTH SERVICES, INC. ” Practice Location

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