Surratt, Vicky Gaye

Surratt, Vicky Gaye is an individual health care provider with primary practice located at 125 Ashleybrook Square , Winston Salem NC 27103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Surratt, Vicky Gaye can be contacted via phone (336) 765-6577.

Contact Information

Primary practice address
125 Ashleybrook Square Winston Salem NC 27103
Phone: (336) 765-6577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1272 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 22112 North Carolina

Profile Details

NPI number 1154406411
LBN Legal business name Surratt, Vicky Gaye
Credentials MA FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 10th, 2012 - about 13 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 1154406411 NPPES
North Carolina MEDICAID 6005004

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