Philip Willard Susann in Durham - Physician Assistant
Philip Willard Susann - NPI 1477522332
Philip Willard Susann is a Physician Assistant in Durham, North Carolina. Philip Willard Susann practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Philip Willard Susann is 1477522332. The last update date is 2007-07-08.
Philip Willard Susann's current location address is 505 Fulton St, Durham, North Carolina. You can contact this provider via phone number 9199670411. The mailing address for Philip Willard Susann is 505 Fulton St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Willard Susann |
|---|---|
| Address | 505 Fulton St, Durham, North Carolina |
| Phone Number | 9199670411 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C, MPAS |
NPI Number Detail
| NPI Number | 1477522332 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 505 Fulton St |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277053879 |
| Phone Number | 9199670411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
Could you kindly provide the complete physical address where Philip Willard Susann's facilities are geographically located?
The facilities of Philip Willard Susann are physically situated at the following location: 505 Fulton St, Durham, NC, 277053879.
What is Philip Willard Susann's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Philip Willard Susann's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Philip Willard Susann's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Philip Willard Susann is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Philip Willard Susann receive its 1477522332 assignment from the Centers for Medicare & Medicaid Services?
The Philip Willard Susann was assigned its 1477522332 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1477522332 to Philip Willard Susann?
The Centers for Medicare & Medicaid Services assigned the 1477522332 to Philip Willard Susann on 2006-03-14.