Individual
SUSAN ANDRACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2512 DELANEY AVE, WILMINGTON, NC 28403-6002
(910) 202-1967
(910) 202-1942
Mailing address
2512 DELANEY AVE, WILMINGTON, NC 28403-6002
(910) 202-1067
(910) 202-1942
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9700845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10697
BCBS
NC
05
—
8901697
—
NC
Enumeration date
07/15/2005
Last updated
11/17/2017
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