Individual
SUSAN STURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 E MARANTA RD, MOORESVILLE, NC 28117-6335
(704) 799-6406
Mailing address
115 E MARANTA RD, MOORESVILLE, NC 28117-6335
(704) 799-6406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200000631
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126UR
—
NC
05
—
N0063A
—
SC
Enumeration date
07/09/2006
Last updated
10/22/2012
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