Individual
MRS. JACQUELINE L SUGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
201 GOVERNMENT CIR, GREENVILLE, NC 27834-8198
(252) 902-2418
(252) 413-1446
Mailing address
201 GOVERNMENT CIR, GREENVILLE, NC 27834-8198
(252) 902-2418
(252) 413-1446
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1428H
BCBSNC
NC
01
—
710000758
RAILROAD MEDICARE
NY
Enumeration date
12/27/2005
Last updated
07/08/2007
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