Individual
MARY MCCLELLAN SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CST,CFA,,SA
Contact information
Practice address
1297 WALNUT GROVE LN, SNOW CAMP, NC 27349-9655
(336) 376-3113
(336) 376-1876
Mailing address
1297 WALNUT GROVE LN, SNOW CAMP, NC 27349-9655
(336) 376-3113
(336) 376-1876
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
00F267
CO
364SM0705X
Medical-Surgical Clinical Nurse Specialist
027608
NC
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
SA00147
TX
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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