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Individual

DR. GARY R SUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
4525 PARK ROAD, STE B104, CHARLOTTE, NC 28209-3723
(704) 527-4895
(704) 527-1407
Mailing address
4525 PARK ROAD, STE B104, CHARLOTTE, NC 28209-3723
(704) 527-4895
(704) 527-1407

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
120
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8998197
NC
01
98197
BCBS NC
NC
Enumeration date
08/12/2006
Last updated
07/08/2007
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