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Individual

MICHAEL J SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
705 N 8TH AVE, SUITE 1B, DILLON, SC 29536-2549
(843) 487-1588
(843) 487-1597
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 841-3517
(843) 841-3519

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
457
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MS007501
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004578
SC
01
062
BLUECHOICE
SC
01
064
BCBS
SC
01
207327
MEDCOST
SC
01
4066223
AETNA
SC
05
5909178
NC
Enumeration date
09/01/2006
Last updated
10/24/2011
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