Organization
DULA SPRINGS WELLNESS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE DANSEREAU MD (OWNER)
(828) 484-9032
Entity
Organization
Contact information
Practice address
6 MORNINGSIDE DR, WEAVERVILLE, NC 28787-9100
(828) 484-9032
Mailing address
6 MORNINGSIDE DR, WEAVERVILLE, NC 28787-9100
(828) 484-9032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201001898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7116
—
NC
Enumeration date
12/10/2013
Last updated
06/24/2015
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