Organization
WOMENS TRANSITIONAL HEALTHCARE PLLC
Active
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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