Tharpe, Teresa Suddreth

Tharpe, Teresa Suddreth is an individual health care provider with primary practice located at 150 Parkwood Dr , Elkin NC 28621-2430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tharpe, Teresa Suddreth can be contacted via phone (336) 835-5945.

Contact Information

Primary practice address
150 Parkwood Dr Elkin NC 28621-2430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800061 North Carolina

Profile Details

NPI number 1609198209
LBN Legal business name Tharpe, Teresa Suddreth
Credentials GONP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Dec 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609198209 NPPES
North Carolina MEDICAID 1609198209
North Carolina Other NCS801A

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