Individual
JENNIFER G SZURGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 295-5511
(910) 255-4391
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
(910) 255-4391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-00408
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225059934
MEDCOST PROVIDER #
—
01
—
149M6
BC/BS NC PROVIDER #
—
05
—
5909765
—
NC
01
—
N0040L
SC MEDICAID PROVIDER#
SC
Enumeration date
07/21/2006
Last updated
01/24/2018
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