MEDICARE: CAROLINA SLEEP, P.A.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	10567	NC
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1912233412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA SLEEP, P.A.

Provider Business Mailing Address
First Line	:	2459 EMERALD PL
Second Line	:	SUITE 102
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5732
Country	:	US
Telephone Number	:	252-757-3939
Fax Number	:	252-757-3973

Provider Business Practice Location Address
First Line	:	1862 OLD FORT RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-9373
Country	:	US
Telephone Number	:	252-902-5678
Fax Number	:	252-329-2891

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEE ALAN SURKIN
Credential	:	M.D.
Telephone Number	:	252-757-3939

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	03/19/2026

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