MEDICARE: MRS. JACQUELINE L SUGG RD, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L002211	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	710000758	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1428H	OTHER	NC	BCBSNC

General Provider Information

NPI Number	:	1508843087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE L SUGG RD, LDN

Provider Business Mailing Address
First Line	:	201 GOVERNMENT CIR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-8198
Country	:	US
Telephone Number	:	252-902-2418
Fax Number	:	252-413-1446

Provider Business Practice Location Address
First Line	:	201 GOVERNMENT CIR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-8198
Country	:	US
Telephone Number	:	252-902-2418
Fax Number	:	252-413-1446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114928421 — MS. CORNELIA BECK DEWEES CNM
Practice Location Address:

201 GOVERNMENT CIR , PITT CO HEALTH DEPT
GREENVILLE, NC
27834-8198

Practice Phone: 252-902-2305
Practice Fax: 252-413-1446

1538183942 — DR. GARY G. LEONHARDT M.D.
Practice Location Address:

203 GOVERNMENT CIR
GREENVILLE, NC
27834-8198

Practice Phone: 252-413-1637
Practice Fax: 252-317-0316

1972697746 — DR. JOHNNY LEE WILLIAMS M.D.
Practice Location Address:

203 GOVERNMENT CIR
GREENVILLE, NC
27834-8198

Practice Phone: 252-413-1637
Practice Fax: 252-317-0316

1699842369 — MS. BONNIE RAE LESKO-ROBERTS RD, LDN
Practice Location Address:

201 GOVERNMENT CIR , PITT COUNTY PUBLIC HEALTH CENTER
GREENVILLE, NC
27834-8198

Practice Phone: 252-902-2386
Practice Fax: 252-413-1446

1306904917 — COUNTY OF PITT OFFICE OF AUDITOR
Practice Location Address:

201 GOVERNMENT CIR
GREENVILLE, NC
27834-8198

Practice Phone: 252-902-2300
Practice Fax: 252-413-1396

1831259811 — TAMMY SMITH DUBREY RN
Practice Location Address:

201 GOVERNMENT CIR
GREENVILLE, NC
27834-8198

Practice Phone: 252-902-2321
Practice Fax: 252-413-1446

Directions to “ MRS. JACQUELINE L SUGG RD, LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.