Individual
EWA ANNA SUSFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 HOLLY SPRINGS PARK DR, FRANKLIN, NC 28734-0719
(828) 349-3550
(828) 349-5087
Mailing address
55 HOLLY SPRINGS PARK DR, FRANKLIN, NC 28734-0719
(828) 349-3550
(828) 349-5087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400983
NC
207R00000X
Internal Medicine Physician
Primary
200400983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137VF
BCBS
NC
05
—
89137VF
—
NC
Enumeration date
08/15/2006
Last updated
10/24/2013
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