Individual
DR. SUSAN DOWNER FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 756-4899
(252) 756-5141
Mailing address
203 WILLIAMSBURG DR, GREENVILLE, NC 27858-6327
(252) 355-5997
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
23843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3308A
BCBS PROVIDER NUMBER
NC
01
—
562165173
FED IDENTIFICATION NUMBER
—
05
—
893308A
—
NC
Enumeration date
12/26/2006
Last updated
07/09/2007
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