Individual
JARROD EDWARD SUDDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5504
Mailing address
333 SOUTH COLUMBIA STREET 126 MACNIDER HALL CB 7005, CHAPEL HILL, NC 27599-7005
(919) 966-1043
(919) 843-2356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-02277
NC
390200000X
Student in an Organized Health Care Education/Training Program
303279
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2021
Last updated
02/04/2025
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