Individual
JUSTIN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
106 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(810) 094-1864
Mailing address
500 CONGAREE RD APT 7107, GREENVILLE, SC 29607-4767
(954) 881-8679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6005
SC
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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