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Individual

STEVEN H SUESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
964 LOCHEND DR, DARLINGTON, SC 29532-5698
(843) 777-6890
(843) 777-6891
Mailing address
PO BOX 15155, LOVES PARK, IL 61132-5155
(815) 713-2627
(815) 654-8020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12712
SC
207Q00000X
Family Medicine Physician
Primary
35050485
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062
BCBS
SC
01
063
BCBS
SC
05
127124
SC
01
18500
EVOLUTIONS
SC
01
20078182
SELECT HEALTH
SC
01
210051
MEDCOST
SC
01
4106556
AETNA
SC
05
5908977
NC
01
9292643
CIGNA
SC
01
AA28198552
MEDICARE PTAN
SC
Enumeration date
10/27/2006
Last updated
01/13/2021
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