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Search › North Carolina › 101YA0400X

Stacey Surratt, MT-BC, LCAS, CSI

NPI 1356607915 · on the registry since 2012 · sole proprietor

Practice

Address
10348 Park Rd
Charlotte, NC 28210
Phone
(704) 288-1097
Fax
(704) 817-7421
Organisation at this address
The Blanchard Institute
Dermatology Practice Of The Carolinas Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
225A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina