Individual
BETH E. SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9701163
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
9701163
NC
Other
Enumeration date
07/08/2006
Last updated
05/04/2023
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