Suffren, Samantha Graves

Suffren, Samantha Graves is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Suffren, Samantha Graves can be contacted via phone (704) 210-5061.

Contact Information

Primary practice address
612 Mocksville Ave Salisbury NC 28144-2732
Phone: (704) 210-5061
Fax: (704) 210-5337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 200600848 North Carolina

Profile Details

NPI number 1356370027
LBN Legal business name Suffren, Samantha Graves
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356370027 NPPES
North Carolina MEDICAID 5904474

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