Surratt, Lisa Barr

Surratt, Lisa Barr is an individual health care provider with primary practice located at 180 Wingo Way Suite 306, Mt Pleasant SC 29464-1810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Surratt, Lisa Barr can be contacted via phone (843) 884-0447.

Contact Information

Primary practice address
180 Wingo Way Suite 306 Mt Pleasant SC 29464-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1167 South Carolina

Profile Details

NPI number 1902097843
LBN Legal business name Surratt, Lisa Barr
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jun 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902097843 NPPES
South Carolina Other 9223 MEDICARE GROUP #-ROPER SAINT FRANCIS HEALTHCARE

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