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Individual
SUSAN E LADD-SNIVELY
Active
Individual
SUSAN E LADD-SNIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-01273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132UT
NCBCBS
NC
05
—
1437175791
—
NC
05
—
89132UT
—
NC
05
—
NC2552
—
SC
Enumeration date
07/13/2006
Last updated
11/30/2016
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