Individual
JENNIFER A. SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 HERBERT CT, GREENVILLE, NC 27834-3736
(252) 744-5437
(252) 744-1514
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-01643
NC
2080P0205X
Pediatric Endocrinology Physician
Primary
2009-01643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155K2
BCBSNC
NC
05
—
5913977
—
NC
Enumeration date
05/29/2007
Last updated
03/07/2024
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