Individual
SUSIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HEALTH CENTER RD, HENDERSON, NC 27536-5482
(252) 204-9866
Mailing address
PO BOX 1164, HENDERSON, NC 27536-1164
(252) 204-9866
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
81-2857034
NC
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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