Organization
SURRY MEDICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R BOKESCH MD (MEDICAL DIRECTOR)
(336) 786-6146
Entity
Organization
Contact information
Practice address
708 S SOUTH ST, MOUNT AIRY, NC 27030-4426
(336) 786-6146
(336) 786-8973
Mailing address
708 S SOUTH ST, MOUNT AIRY, NC 27030-4426
(336) 786-6146
(336) 786-8973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902781
—
NC
Enumeration date
03/21/2006
Last updated
08/22/2020
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