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Individual

DR. SUSAN LAWRENCE CRITTENDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
530 NEW WAVERLY PL, SUITE 200, CARY, NC 27511-7414
(919) 859-5955
(919) 859-5659
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-1669

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26434
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0452674
UNITED HEALTHCARE
01
110167670
RAILROAD MEDICARE
01
25762
BCBS
NC
01
5121657
CIGNA
01
67051
MEDCOST
05
8925762
NC
Enumeration date
02/09/2007
Last updated
01/29/2009
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