Individual
SUSAN V. BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 653-4071
(864) 653-4074
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3805
—
SC
Enumeration date
07/20/2007
Last updated
02/10/2010
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