Herald Surya

NPI 1083811665 - Family Medicine - 207Q00000X

NPI Details
NPI 1083811665
Gender Male
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 721-3052
Business Location
AUGUSTA GA, 30909-0220, US
Phone (347) 724-0975
Taxonomy Code 207Q00000X
License State Georgia
License Number 002451
Remove 1083811665 NPI Number

According to our database, Dr. Herald Surya NPI is 1083811665, taxonomy code is 207Q00000X and license number is 002451, license state is located at Georgia. Herald Surya physically located at 1120 15th St, Augusta GA, 30912-0004. NPI Number Herald Surya has the Individual type.

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1083811665 NPI number is provided on an as is basis without warranty of any kind. 1083811665 is maintained by the National Plan & Provider Enumeration System. The contents of Herald Surya are for informational purposes only.