Individual
MRS. EMMA CECILIA JUSSEAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1698 HIGHWAY 160 W, SUITE 200, FORT MILL, SC 29708-8032
(803) 547-4343
(803) 547-3914
Mailing address
1698 HIGHWAY 160 W, SUITE 200, FORT MILL, SC 29708-8032
(803) 547-4343
(803) 547-3914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL2023
SC
Other
Enumeration date
01/02/2014
Last updated
05/28/2015
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