Individual
DR. SUSAN BIGNALL OWENSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 PARK ST, SUITE 500, BELMONT, NC 28012-5205
(704) 829-0025
(704) 829-0031
Mailing address
209 PARK ST, SUITE 500, BELMONT, NC 28012-5205
(704) 829-0025
(704) 829-0031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9601426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891157A
—
NC
05
—
N01426
—
SC
Enumeration date
09/29/2005
Last updated
07/08/2011
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