Doctor Name: | MARY MCCLELLAN SUTTON |
NPI Number: | 1124235775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN, CST,CFA,,SA |
License Number: | 00F267 |
Business Practice Address: | 1297 Walnut Grove Ln Snow Camp, NC - 273499655 |
Business Phone Number: | 3363763113 |
Business Fax Number: | 3363761876 |
Mailing Address: | 1297 Walnut Grove Ln, SNOW CAMP |
State: | NC |
Postal Code: | 273499655 |
Phone Number: | 3363763113 |
Fax Number: | 3363761876 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | 00F267 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |