Individual
JUSTIN HENRY SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
931 TIGER BLVD, CLEMSON, SC 29631-1419
(864) 654-6706
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003008
CO
Other
Enumeration date
03/04/2013
Last updated
04/30/2026
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