Provider Demographics
NPI:1750640926
Name:NEW BEGINNINGS MEDICAL WEIGHT LOSS CENTRE, P.A.
Entity Type:Organization
Organization Name:NEW BEGINNINGS MEDICAL WEIGHT LOSS CENTRE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-757-3939
Mailing Address - Street 1:2459 EMERALD PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5732
Mailing Address - Country:US
Mailing Address - Phone:252-757-3939
Mailing Address - Fax:252-757-3973
Practice Address - Street 1:2459 EMERALD PL
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5732
Practice Address - Country:US
Practice Address - Phone:252-757-3939
Practice Address - Fax:252-757-3973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty