Provider Demographics
NPI:1952348187
Name:KEPICH, MARGARET SUSAN (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SUSAN
Last Name:KEPICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8798
Mailing Address - Country:US
Mailing Address - Phone:910-295-5511
Mailing Address - Fax:910-295-5481
Practice Address - Street 1:205 PAGE RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8798
Practice Address - Country:US
Practice Address - Phone:910-295-5511
Practice Address - Fax:910-295-5481
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601362207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC189135OtherMEDCOST PROVIDER#
NCFH1020555OtherFIRSTCAROLINACARE PROV.#
SCN01362OtherSC MEDICAID PROV#
NC0404769OtherEVERCARE
NC1002FOtherBC/BS NC PROVIDER#
NCP00327597OtherPALMETTO GOVT SERVICES
NC891002FMedicaid
NC0404769OtherEVERCARE
NC1002FOtherBC/BS NC PROVIDER#