| Surry Psr | |
|
150 Franklin St Mount Airy NC 27030-4502 | |
| (336) 786-1751 | |
| Not Available |
| Full Name | Surry Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 Franklin St, Mount Airy, North Carolina |
| Authorized Official Name and Position | Kevin L Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9199810740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surry Psr 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Surry Psr 150 Franklin St Mount Airy NC 27030-4502 Ph: (336) 786-1751 |
| NPI Number | 1144356049 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144356049 | NPI | - | NPPES |
| 8300431S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-086-008 (North Carolina) | Primary |
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