Susan Farrar Antle, MD
Obstetrics & Gynecology in Charlotte, NC. Individual provider (NPI-1).
NPI number1720060387
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1720060387
- Entity type
- Individual (NPI-1)
- Name
- Susan Farrar Antle
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Certification date
- Aug 12, 2022
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2019-02883 | NC | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 2019-02883 | NC | |
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | 2019-02883 | NC |
Practice location
1025 Morehead Medical DrSte 400
Charlotte, NC 28204-2963
Phone 704-446-1700
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
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