Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1740606789 |
---|---|
Provider Name | Mrs. Susan Mcduffie |
First Address | Charlotte, NC 28216 |
Second Address | Charlotte, NC 28216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2014 |
Last Update Date | 14/03/2014 |