Individual
SURBHI JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
704 GOLD HILL RD, SUITE 115, FORT MILL, SC 29715-8906
(803) 802-5181
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019-02812
NC
207R00000X
Internal Medicine Physician
83573
SC
Other
Enumeration date
06/13/2016
Last updated
11/30/2020
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