Individual
ANNA SUCCOP REIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5950 FAIRVIEW RD STE 808, CHARLOTTE, NC 28210-2110
(980) 867-4440
Mailing address
13207 CAITE RIDGE RD, DAVIDSON, NC 28036-0450
(704) 737-1945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
363AM0700X
Medical Physician Assistant
0010-10293
NC
Other
Enumeration date
10/25/2020
Last updated
07/16/2022
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