Individual
AMY SURTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO4886
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88555
GA
Other
Enumeration date
04/03/2017
Last updated
07/05/2021
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