Individual
DR. SUSAN JAYNE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1297 PROFESSIONAL DR, STE 104, MYRTLE BEACH, SC 29577-5713
(843) 712-1854
(843) 213-1681
Mailing address
333 WELCOME DR, MYRTLE BEACH, SC 29579-5374
(843) 712-1854
(843) 213-1681
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
26014
WI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
29752
SC
2084P0800X
Psychiatry Physician
Primary
29752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30823300
—
WI
Enumeration date
12/11/2006
Last updated
07/21/2022
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