Individual
SUSAN SIMMONS MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 MEDICAL CAMPUS DR, BURNSVILLE, NC 28714-9010
(828) 682-0200
Mailing address
800 MEDICAL CAMPUS DR, BURNSVILLE, NC 28714-9010
(828) 682-0200
(828) 682-5095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200000260
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1247G
BCBS
NC
05
—
891247G
—
NC
01
—
SM4961008
UNITED HEALTHCARE
—
Enumeration date
02/22/2006
Last updated
01/31/2014
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