Individual
SUZANNE REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00100610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94675
MEDCOST
NC
Enumeration date
11/30/2005
Last updated
08/18/2010
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