Individual
DR. MICHAEL SUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 NORTHSIDE PARK, ELIZABETH CITY, NC 27909-9337
(252) 335-4619
(252) 335-5744
Mailing address
102 NORTHSIDE PARK, ELIZABETH CITY, NC 27909-9337
(252) 335-4619
(252) 335-5744
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
9600169
NC
174400000X
Specialist
151718
NC
207R00000X
Internal Medicine Physician
0101048956
VA
207RG0100X
Gastroenterology Physician
0101048956
VA
207RG0100X
Gastroenterology Physician
Primary
C1-0012813
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100008745
RAILROAD MEDICARE
NC
01
—
2954451
UNITED HEALTHCARE
NC
01
—
559662
ALLIANE PPO
NC
01
—
561976984
TAX-ID
NC
01
—
80781
BCBS OF NORTH CAROLINA
NC
05
—
89807081
—
NC
Enumeration date
12/09/2005
Last updated
01/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us