# MARY SUE SUGGS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN STREET MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447246053
- **Authorized official:** MARY SUE SUGGS CRNP (OWNER)
- **Authorized official phone:** (205) 814-1598

## Contact information

- **Practice address:** 1508 COGSWELL AVE, PELL CITY, AL 35125-1243
- **Practice address phone:** (205) 814-1598
- **Practice address fax:** (205) 814-1587
- **Mailing address:** 1508 COGSWELL AVE, PELL CITY, AL 35125-1243
- **Mailing address phone:** (205) 814-1598
- **Mailing address fax:** (205) 814-1587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 01/28/2010