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Individual
SUZANNE NICOLE SUPRENANT
Active
Individual
SUZANNE NICOLE SUPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2017-00844
NC
390200000X
Student in an Organized Health Care Education/Training Program
173473
NC
Other
Enumeration date
06/26/2011
Last updated
07/21/2022
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