# SURRY REGIONAL HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Airy Ob-Gyn Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174837413
- **Authorized official:** MR. ROBERT G. HETRICK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (336) 719-7102

## Contact information

- **Practice address:** 510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
- **Practice address phone:** (336) 786-4522
- **Practice address fax:** (336) 789-3025
- **Mailing address:** PO BOX 1267, MOUNT AIRY, NC 27030-1267
- **Mailing address phone:** (336) 786-4522
- **Mailing address fax:** (336) 789-3025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 07/05/2011
