Mary M. Sutton LPN, CST,CFA,,SA
Full Name
Mary Mcclellan Sutton LPN, CST,CFA,,SA
NPI Number
1124235775
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/16/2007
Specialties
(Taxonomies)Code
364SM0705X
247200000X
Primary Taxonomy
No
No
Licenses
State
Colorado
North Carolina
Texas
License Number
00F267
027608
SA00147
Contact
Information
Purpose
Mailing
Location
Address
1297 WALNUT GROVE LN
1297 WALNUT GROVE LN
City
Snow Camp
Snow Camp
State
NC
NC
Postal Code
27349-9655
27349-9655
Country
US
US
Telephone Number
(336) 376-3113
(336) 376-3113
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007