Provider Demographics
NPI:1831497023
Name:SURRY REGIONAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SURRY REGIONAL HEALTH SERVICES INC
Other - Org Name:NORTH STATE BONE AND JOINT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:THORP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-972-3971
Mailing Address - Street 1:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-1267
Mailing Address - Country:US
Mailing Address - Phone:336-719-2202
Mailing Address - Fax:336-719-0714
Practice Address - Street 1:314 S SOUTH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-4450
Practice Address - Country:US
Practice Address - Phone:336-719-2202
Practice Address - Fax:336-719-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty