Individual
SUSANNE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NORTH PAGE STREET, CHESTERFIELD COUNTY HEALTH DEPT., CHESTERFIELD, SC 29709
(843) 623-2117
(843) 623-3066
Mailing address
309 KERSHAW ST, CHERAW, SC 29520-2606
(843) 537-5946
(843) 623-3066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25736
SC
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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