Individual
MARY SUE SUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Mailing address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1052565
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051550183
BLUE CROSS BLUE SHIELD
AL
05
—
891001850
—
AL
Enumeration date
09/20/2005
Last updated
12/22/2010
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