Individual
SUSAN HUGGINS GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
240 BROAD ST, DBA FORSYTH PEDIATRIC ASSOC. - K'VILLE, KERNERSVILLE, NC 27284-2930
(336) 993-8333
(336) 993-5144
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
086287
NC
363L00000X
Nurse Practitioner
Primary
300252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005439
—
NC
Enumeration date
01/27/2006
Last updated
12/23/2021
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