Individual
DR. SUSAN JANIS PABST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 TATE BLVD SE, SUITE 202, HICKORY, NC 28602-1384
(828) 485-2707
(828) 485-2708
Mailing address
1501 TATE BLVD SE, SUITE 202, HICKORY, NC 28602-1384
(828) 485-2707
(828) 485-2708
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9600667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225924B
MEDICARE INDIVIDUAL PTAN
NC
05
—
8964751
—
NC
Enumeration date
03/09/2006
Last updated
01/31/2012
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