Provider Demographics
NPI:1780728238
Name:OLNEY, MARY SUSAN (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SUSAN
Last Name:OLNEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:115 BLACKCHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1613
Mailing Address - Country:US
Mailing Address - Phone:336-538-7831
Mailing Address - Fax:
Practice Address - Street 1:1240 HUFFMAN MILL RD
Practice Address - Street 2:ALAMANCE REGIONAL MEDICAL CENTER LABORATORY
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-538-7831
Practice Address - Fax:336-538-6585
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC30692207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology