Individual
SUZANNE M. GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MD
Contact information
Practice address
PO BOX 4661, CHARLESTON, WV 25364-4661
(304) 606-6100
(304) 606-6100
Mailing address
PO BOX 4661, CHARLESTON, WV 25364-4661
(304) 606-6100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154458
FL
208D00000X
General Practice Physician
154458
FL
Other
Enumeration date
07/03/2010
Last updated
05/23/2024
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