Individual
ALIVIA ANNIE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3815 CONLON WAY, ELIZABETH CITY, NC 27909
(252) 580-2002
(833) 491-4966
Mailing address
2576 PEARTREE RD, ELIZABETH CITY, NC 27909-7800
(252) 548-4258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13969
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
12/01/2021
Last updated
02/26/2025
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