Individual
KAREN A SUPAN-MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 W WOOD HILL DR, NAGS HEAD, NC 27959-9394
(757) 264-6928
Mailing address
101 N LYNNHAVEN RD STE 100, VIRGINIA BEACH, VA 23452-7523
(757) 264-6928
(757) 963-0444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0090-00556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14150
BLUE CROSS
NC
05
—
5902962
—
NC
01
—
P00329413
MEDICARE RAILROAD
NC
Enumeration date
06/07/2006
Last updated
12/07/2015
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