Individual
SUSAN ELLEN MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNPC
Contact information
Practice address
3 CHARLESTON CENTER DR, CHARLESTON COUNTY HEALTH CLINIC, CHARLESTON, SC 29401-1162
(843) 579-4606
(843) 570-4621
Mailing address
1453 DIAMOND BLVD, MT PLEASANT, SC 29466-9464
(843) 849-8523
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN 620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16
—
SC
Enumeration date
10/31/2005
Last updated
07/09/2007
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