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Individual

DR. SUSAN M FERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
272 NEWSTOCK ROAD, ASHEVILLE, NC 28804
(360) 477-2396
Mailing address
272 NEWSTOCK ROAD, ASHEVILLE, NC 28804
(360) 477-2396

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD00045660
WA
208D00000X
General Practice Physician
Primary
MD00045660
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1110FE
REGENCE BLUE SHIELD RIDER
05
8439044
WA
Enumeration date
03/14/2006
Last updated
08/29/2012
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