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Organization

SURRY COUNTY CONVALESCENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN Q. SHELTON III (DIRECTOR)
(336) 783-9000
Entity
Organization

Contact information

Practice address
1218 STATE ST, SUITE 500, MOUNT AIRY, NC 27030-5001
(336) 783-9000
(336) 783-9010
Mailing address
1218 STATE ST, SUITE 500, MOUNT AIRY, NC 27030-5001
(336) 783-9000
(336) 783-9010

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1204
NC

Other

Enumeration date
10/05/2011
Last updated
10/05/2011
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