Surratt, Darrell Shawn

Surratt, Darrell Shawn is an individual health care provider with primary practice located at 603 Wheat Ave Suite 700, Bainbridge GA 39819-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Surratt, Darrell Shawn can be contacted via phone (229) 243-8462.

Contact Information

Primary practice address
603 Wheat Ave Suite 700 Bainbridge GA 39819-4360
Phone: (229) 243-8462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055984 Georgia

Profile Details

NPI number 1972570943
LBN Legal business name Surratt, Darrell Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972570943 NPPES
Georgia MEDICAID 840736398A
Georgia Other 055984

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