MS. Susan Layne Bollom, PA-C
NPI #1083720643 in Salisbury, North Carolina
Provider Information
- NPI Number
- 1083720643
- Entity Type
- Individual
- Name
- MS. Susan Layne Bollom, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Mar 26, 2018
Practice Location
- Address
- 1601 BRENNER AVE
- City
- Salisbury
- State
- North Carolina
- ZIP Code
- 28144-2515
- Phone
- (704) 638-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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