Individual
SUSAN CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 WINGO WAY STE 205, MT PLEASANT, SC 29464-1811
(843) 256-7109
Mailing address
2256 BECKENHAM DR, MT PLEASANT, SC 29466-9009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31477
SC
207Q00000X
Family Medicine Physician
41233
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
Enumeration date
02/05/2007
Last updated
02/04/2026
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