Individual
SUSAN BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 500 5TH FLOOR, CHARLOTTE, NC 28204-2963
(704) 355-3149
Mailing address
1025 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9900170
NC
Other
Enumeration date
07/12/2006
Last updated
02/12/2019
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