Individual
MRS. MARIE MAUDE SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1205 N HWY 11, WEST UNION, SC 29696
(864) 638-5402
(864) 638-6126
Mailing address
282 JOCASSEE RIDGE WAY, SALEM, SC 29676
(914) 391-8853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18034
SC
363L00000X
Nurse Practitioner
Primary
F420414-1
NY
Other
Enumeration date
06/13/2008
Last updated
10/15/2012
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