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NPI Code Detail

MEDICARE: DR. SUZANNE POWELL HESS M.D.

MEDICARE: DR. SUZANNE POWELL HESS M.D.
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
1174400000XSpecialist32730NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770577074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE POWELL HESS M.D.
Provider Business Mailing Address
First Line : 108 DORNACH WAY
Second Line :
City : ADVANCE
State : NC
Zip : 27006-7305
Country : US
Telephone Number : 336-940-2407
Fax Number : 336-940-2409
Provider Business Practice Location Address
First Line : 108 DORNACH WAY
Second Line :
City : ADVANCE
State : NC
Zip : 27006-7305
Country : US
Telephone Number : 336-940-2407
Fax Number : 336-940-2409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 01/19/2010

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