Zachary Glenn Sutton, | |
401 N Main St, Kenansville, NC 28349-8801 | |
(910) 296-0941 | |
Not Available |
Full Name | Zachary Glenn Sutton |
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Gender | Male |
Speciality | Internal Medicine |
Location | 401 N Main St, Kenansville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134625718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2022-02161 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Zachary Glenn Sutton, 2301 Erwin Road, Durham, NC 27710 Ph: () - | Zachary Glenn Sutton, 401 N Main St, Kenansville, NC 28349-8801 Ph: (910) 296-0941 |
Dr. Benjamin Lloyd Byerly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-0941 Fax: 910-296-1174 | |
Dr. Jonathan Hargett Kornegay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Vidant Duplin Hospital, Kenansville, NC 28349 Phone: 910-296-2790 | |
Mrs. Corazon Ngo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Duplin St, Kenansville, NC 28349 Phone: 910-296-1811 Fax: 910-296-0862 | |
Sri Lakshmi Jasthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-8880 Fax: 910-296-2700 |