Individual
SUSAN ANN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1233
(910) 715-1926
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8500
(910) 715-1233
(910) 715-1926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051339
—
NC
01
—
P00157815
RAILROAD MEDICARE
NC
Enumeration date
06/27/2005
Last updated
09/23/2008
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