Organization
MARY SUE SUGGS
Active
Other names
MAIN STREET MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUE SUGGS CRNP (OWNER)
(205) 814-1598
Entity
Organization
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Mailing address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541003917
—
AL
Enumeration date
09/20/2005
Last updated
01/28/2010
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