Individual
DR. WILSON FARRIS SURRATT
Active
Individual
DR. WILSON FARRIS SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29664
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
29964
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0483397001
CIGNA
NC
01
—
050032554
RAILROAD MEDICARE
NC
01
—
4597856
AETNA
NC
01
—
81019
BCBSNC
NC
01
—
85330
MEDCOST
NC
05
—
8981019
—
NC
05
—
N29964
—
SC
Enumeration date
05/24/2006
Last updated
06/30/2014
Update your record
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