Provider Demographics
NPI:1265410500
Name:ZORN, SUZANNE JENNIFER (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:JENNIFER
Last Name:ZORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5711 SIX FORKS RD
Mailing Address - Street 2:207
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3888
Mailing Address - Country:US
Mailing Address - Phone:919-841-9002
Mailing Address - Fax:919-841-9954
Practice Address - Street 1:5711 SIX FORKS RD
Practice Address - Street 2:207
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3888
Practice Address - Country:US
Practice Address - Phone:919-841-9002
Practice Address - Fax:919-841-9954
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC93000381207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
217974OtherTRIGON
NC89957OtherBCBS
32-50442OtherUNITED HEALTHCARE
97112OtherMEDCOST
TN4021116OtherBCBS TN
42597OtherWELLPATH
NC8989957Medicaid
NC89957OtherBCBS
TN4021116OtherBCBS TN