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Individual

MRS. CYNTHIA LYNN CUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 572-8201
(843) 797-8491
Mailing address
201 SIGMA DR, STE 100, SUMMERVILLE, SC 29486-7715
(843) 761-2815
(843) 899-4723

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18484
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2653
SC
Enumeration date
09/24/2013
Last updated
07/22/2019
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