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Individual
DR. ANN E SURPRENANT
Active
Individual
DR. ANN E SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33792
SC
208M00000X
Hospitalist Physician
2009-00576
NC
208M00000X
Hospitalist Physician
33792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL33792
STATE MEDICAL LICENSE
SC
Enumeration date
08/29/2006
Last updated
11/09/2020
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