Surratt, Robert W

Surratt, Robert W is an individual health care provider with primary practice located at 1085 Ne Gateway Ct Suite 200, Ardsley Internal Medicine, Concord NC 28025-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Surratt, Robert W can be contacted via phone (704) 260-8650.

Contact Information

Primary practice address
1085 Ne Gateway Ct Suite 200, Ardsley Internal Medicine Concord NC 28025-2406
Phone: (704) 260-8650
Fax: (704) 260-8665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25087 North Carolina

Profile Details

NPI number 1700858776
LBN Legal business name Surratt, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 11th, 2008 - 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 1700858776 NPPES
North Carolina Other 31489 MEDCOST
North Carolina Other 4324723 MEDCOST
North Carolina Other 111011 MEDCOST
North Carolina Other 81014 MEDCOST
North Carolina Other 298677 MEDCOST
North Carolina Other 110220835 MEDCOST
North Carolina Other 232009 MEDCOST
North Carolina Other 566000156 MEDCOST
North Carolina Other 5246 MEDCOST
North Carolina MEDICAID 8981014 MEDCOST

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