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Organization

SUZANNE M. EVERHART, D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE M EVERHART D.O. (PRESIDENT)
(804) 752-7508
Entity
Organization

Contact information

Practice address
204 VIRGINIA ST, ASHLAND, VA 23005-2049
(804) 752-7508
(804) 798-6876
Mailing address
204 VIRGINIA ST, ASHLAND, VA 23005-2049
(804) 752-7508
(804) 798-6876

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101037079
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6301495
VA
Enumeration date
10/30/2009
Last updated
10/30/2009
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