Individual
SUZANNE M. R. KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11 RIVER RIDGE DR, ASHEVILLE, NC 28803-1299
(828) 299-0154
Mailing address
92 REED RD, ASHEVILLE, NC 28805-8717
(828) 242-6160
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2757902
MEDICARE ID
NC
05
—
8981419
—
NC
Enumeration date
04/27/2006
Last updated
11/05/2012
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