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Organization
MARY SUE SUGGS
Active
Organization
MARY SUE SUGGS
Active
Other names
MAIN STREET MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUE SUGGS CRNP (OWNER)
(205) 814-1598
Entity
Organization
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Mailing address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2005
Last updated
01/28/2010
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