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
Phone: (843) 884-0447
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902097843 | NPPES |
South Carolina | Other | 9223 | MEDICARE GROUP #-ROPER SAINT FRANCIS HEALTHCARE |
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