Individual
ROBERT W SURRATT
Active
Individual
ROBERT W SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110220835
RAILROAD MEDICARE ID
NC
01
—
111011
WELLPATH
NC
01
—
232009
MEDICARE-OTHER
NC
01
—
298677
MAMSI
NC
01
—
31489
MEDCOST
NC
01
—
4324723
AETNA ID
NC
01
—
5246
PARTNERS MEDICARE CH
NC
01
—
566000156
PRACTICE TAX ID
NC
01
—
81014
BCBS ID
NC
05
—
8981014
—
NC
Enumeration date
02/03/2006
Last updated
06/11/2008
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