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Contact Information

SUSAN L CHURCH, MD
100 NASH MEDICAL ARTS MALL
ROCKY MOUNT, NC27804-1400
 Phone: 252-451-3100
 Fax: 252-451-3141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN L CHURCH · (Female)

NPI Number 1093709701
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 08/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 28956
  • NC Medicaid 7922480
  • NC Other 22480 BCBSNC
  • NC Other 1521919 CIGNA HEALTHCARE
  • NC Other 69963 MEDCOST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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