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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356370027 | NPPES |
| North Carolina | MEDICAID | 5904474 |
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