Organization
SUZANNE GHARIB MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE LEE GHARIB MD (OWNER)
(304) 720-8701
Entity
Organization
Contact information
Practice address
4610 KANAWHA AVENUE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1311
(304) 720-8701
(304) 720-8702
Mailing address
4610 KANAWHA AVENUE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1311
(304) 720-8701
(304) 720-8702
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23211
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012855
—
WV
Enumeration date
08/05/2008
Last updated
01/08/2019
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