MEDICARE: SUSAN FARRAR ANTLE MD

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	207VG0400X	Gynecology Physician	2019-02883	NC
2	207VX0000X	Obstetrics Physician	2019-02883	NC
3	207V00000X	Obstetrics & Gynecology Physician	2019-02883	NC

General Provider Information

NPI Number	:	1720060387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN FARRAR ANTLE MD

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 MOREHEAD MEDICAL DR
Second Line	:	STE 400
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2963
Country	:	US
Telephone Number	:	704-446-1700
Fax Number	:

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/15/2024

Similar Medicare Providers

1841298098 — BRIANA WRIGHT HENIFORD MD
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 200
CHARLOTTE, NC
28204-2963

Practice Phone: 704-446-6810
Practice Fax:

1649268319 — JILL CHRISTINE GIRLING PA
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 500
CHARLOTTE, NC
28204-2963

Practice Phone: 704-446-2320
Practice Fax:

1083698427 — JOSEPH ROBERT HSU MD
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 300
CHARLOTTE, NC
28204-2963

Practice Phone: 704-446-2060
Practice Fax:

1659359040 — CHARLES CODDINGTON III MD
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 500 5TH FLOOR
CHARLOTTE, NC
28204-2963

Practice Phone: 704-355-3149
Practice Fax:

1992773824 — BRADLEY RICE DAVIS MD
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 300
CHARLOTTE, NC
28204-2963

Practice Phone: 704-355-1813
Practice Fax:

1497718787 — TERRY SARANTOU MD
Practice Location Address:

1025 MOREHEAD MEDICAL DR , STE 300
CHARLOTTE, NC
28204-2963

Practice Phone: 704-355-1813
Practice Fax:

Directions to “ SUSAN FARRAR ANTLE MD” 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.