Organization
SURRY REGIONAL HEALTH SERVICES
Active
Other names
Northern Pediatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES (CHIEF EXECUTIVE OFFICER)
(336) 719-7000
Entity
Organization
Contact information
Practice address
100 NORTH POINTE BOULEVARD, MOUNT AIRY, NC 27030-4419
(336) 789-6267
(336) 786-4245
Mailing address
PO BOX 1267, MOUNT AIRY, NC 27030-1267
(336) 786-4522
(336) 789-3025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790231A
—
NC
Enumeration date
10/11/2005
Last updated
01/14/2014
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