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Individual
SUSIE FITZGERALD
Active
Individual
SUSIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00367
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141J6
NCBCBS
NC
05
—
7412455
—
NC
Enumeration date
03/29/2006
Last updated
06/30/2022
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