Organization
MYRIAD SUPPORT CENTER
Active
Parent organization
SURRENT CAPITAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURRENT CAPITAL, INC
Authorized official
MR. YUSSEF L GILKEY (CEO)
(336) 602-2940
Entity
Organization
Contact information
Practice address
3540 VEST MILL RD STE 6, WINSTON SALEM, NC 27103-2988
(336) 602-2940
Mailing address
3540 VEST MILL RD STE 6, WINSTON SALEM, NC 27103-2988
(336) 602-2940
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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