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Individual

MS. SUZANNE WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP RN MSN

Contact information

Practice address
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210, BEAUFORT, SC 29902-5472
(843) 522-7820
(844) 296-2295
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64779
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3038
SC
Enumeration date
12/16/2005
Last updated
07/25/2019
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