Individual
SUSAN JANE KRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 ENTERPRISE BLVD, SUITE 101, GREENVILLE, SC 29615-6300
(864) 454-8120
(864) 454-8125
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400223
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
40030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136CX
NORTH CAROLINA
—
05
—
400301
—
SC
01
—
560794933
HEALTHSOURCE
—
01
—
89136CX
NORTH CAROLINA
—
05
—
89136CX
—
NC
01
—
D2570
MEDCOST BR
—
01
—
D3758
MEDCOST DH
—
01
—
D3759
MEDCOST RW
—
Enumeration date
09/09/2005
Last updated
09/28/2016
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