Individual
SUZANNE ELIZABETH DVERGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 SOUTH WILLIAMSON AVENUE, ELON, NC 27244
(336) 538-2516
(336) 584-6811
Mailing address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2101-01891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50456700
—
MN
Enumeration date
03/16/2006
Last updated
07/18/2023
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