| Doctor Name: | SUZANNE MCCONNELL PAUL |
| NPI Number: | 1710222567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024170308 |
| Business Practice Address: | 25892 North James Madison Highway New Canton, VA - 231230220 |
| Business Phone Number: | 4345813271 |
| Business Fax Number: | 4345811105 |
| Mailing Address: | 25892 North James Madison Highway, NEW CANTON |
| State: | VA |
| Postal Code: | 231230220 |
| Phone Number: | 4345813271 |
| Fax Number: | 4345811105 |
| NPI Enumeration Date: | 12/05/2012 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024170308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |