| Susan Kady Wilson, MD | |
|
14 Doctors Cir, Suite 5, Supply, NC 28462-4097 | |
| (910) 754-9166 | |
| (910) 754-2972 |
| Full Name | Susan Kady Wilson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 14 Doctors Cir, Supply, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093719726 | NPI | - | NPPES |
| T30464 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 19107 (South Carolina) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kady Wilson, MD 1900 Randolph Rd, Suite 500, Charlotte, NC 28207-1122 Ph: (704) 384-9113 | Susan Kady Wilson, MD 14 Doctors Cir, Suite 5, Supply, NC 28462-4097 Ph: (910) 754-9166 |
Larry Lee Wilson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14 Doctors Cir, Suite 5, Supply, NC 28462 Phone: 910-754-9166 Fax: 910-754-2972 | |
Dr. Diane Nicole Ballerino-regan, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr, Suite 205, Supply, NC 28462 Phone: 910-755-5260 Fax: 910-755-5263 | |
Mr. Robert E Hassler, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14 Doctors Cir, Suite 5, Supply, NC 28462 Phone: 910-754-9166 Fax: 910-754-2972 | |
Mr. Lindian J Swaim Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14 Doctors Cir, Suite 5, Supply, NC 28462 Phone: 910-754-9166 Fax: 910-754-2972 |