Surrett, Gerald Wayne

Surrett, Gerald Wayne is an sole proprietor health care provider with primary practice located at 1650 Cochrane Cir Tmc 10, Fort Carson CO 80913-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Surrett, Gerald Wayne can be contacted via phone (719) 524-2207.

Contact Information

Primary practice address
1650 Cochrane Cir Tmc 10 Fort Carson CO 80913-4603
Phone: (719) 524-2207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055897 Georgia

Profile Details

NPI number 1841223211
LBN Legal business name Surrett, Gerald Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Feb 20th, 2012 - about 12 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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