| Doctor Name: | MRS. SUSAN EDWARDS SURRATT |
| NPI Number: | 1710996459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN1202 |
| Business Practice Address: | 1600 Highway 17 N Surfside Beach, SC - 295756015 |
| Business Phone Number: | 8432381461 |
| Business Fax Number: | 8438280622 |
| Mailing Address: | 1818 Henderson St, COLUMBIA |
| State: | SC |
| Postal Code: | 292012619 |
| Phone Number: | 8432381461 |
| Fax Number: | 8438280622 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN1202 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |