Individual
MRS. SUSAN BURCH VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2340 HEMBY LN STE 200, GREENVILLE, NC 27834-3775
(252) 758-5000
Mailing address
2340 HEMBY LN STE 200, GREENVILLE, NC 27834-3775
(252) 758-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
982
NC
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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