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Individual
MRS. SUSAN EDWARDS SURRATT
Active
Individual
MRS. SUSAN EDWARDS SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
APN 1202
SC
207Q00000X
Family Medicine Physician
Primary
APN 1202
SC
363LF0000X
Family Nurse Practitioner
APN1202
SC
Other
Enumeration date
08/05/2006
Last updated
06/18/2012
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