Organization
STONE INSTITUTE OF THE CAROLINAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M SURRATT (COO)
(800) 822-5525
Entity
Organization
Contact information
Practice address
215 SOUTH MAIN STREET, SU 201, DAVIDSON, NC 28036-9307
(800) 822-5525
(704) 892-8790
Mailing address
PO BOX 4509, DAVIDSON, NC 28036-4509
(800) 822-5525
(704) 892-8790
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QL0400X
Lithotripsy Clinic/Center
NOT REQUIRED IN NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902505
—
NC
Enumeration date
07/15/2006
Last updated
01/04/2024
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