Individual
DEBRA L SUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
2008-01464
NC
204F00000X
Transplant Surgery Physician
20205
NE
208600000X
Surgery Physician
2008-01464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557580
—
NE
05
—
5910174
—
NC
Enumeration date
05/11/2006
Last updated
10/21/2008
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