Individual
SUZANNE L. KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 ASHVILLE AVE, SUITE 310, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Mailing address
P.O BOX 601043, CHARLOTTE, NC 28260-1043
(919) 233-8585
(919) 233-8566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135PC
BCBS
NC
01
—
34371
STATE LICENSE
NC
01
—
561856695
TAX ID
NC
05
—
89135PC
—
NC
Enumeration date
11/22/2006
Last updated
01/07/2009
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