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Individual
DR. AUDREY LYNN SUTTON-SURAK
Active
Individual
DR. AUDREY LYNN SUTTON-SURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501955
NC
207Q00000X
Family Medicine Physician
25MB6325500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1378260
UNITED HEATHCARE
—
01
—
5231159
AETNA
—
05
—
5904062
—
NC
01
—
9614555
CIGNA
—
Enumeration date
11/16/2005
Last updated
08/06/2018
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