Individual
SUZANNE PROCTOR HALLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 CROOKED CREEK PKWY STE 200, DURHAM, NC 27713-8506
(919) 590-0157
Mailing address
103 N FIELDS CIR, CHAPEL HILL, NC 27516-4332
(919) 381-0897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09418
NC
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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