Organization
WOMENS TRANSITIONAL HEALTHCARE PLLC
Active
Other names
Women's Transitional HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA GRAVES SUFFREN M.D. (CEO)
(704) 817-8230
Entity
Organization
Contact information
Practice address
1977 J N PEASE PL STE 203, CHARLOTTE, NC 28262-4527
(704) 817-8230
(704) 665-5645
Mailing address
1977 J N PEASE PL STE 203, CHARLOTTE, NC 28262-4527
(704) 817-8230
(704) 665-5645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
188505
NC
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
06/02/2020
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