Individual
MITCHEL PAUL SUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, C.PED.,FAAOP
Contact information
Practice address
213 AIRPORT RD, LENOIR CROSSING, KINSTON, NC 28504-8859
(252) 522-3278
(252) 522-3280
Mailing address
PO BOX 1495, KINSTON, NC 28503-1495
(252) 522-3278
(252) 522-3280
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861626723
PARTNERS (BCBS)
NC
05
—
7705029
—
NC
05
—
7795129
—
NC
Enumeration date
01/08/2007
Last updated
10/27/2009
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