Organization
HY SUSSMAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HY C SUSSMAN MD (PRESIDENT)
(843) 384-6256
Entity
Organization
Contact information
Practice address
14 WESTBURY PARK, SUITE 103, BLUFFTON, SC 29910-7461
(843) 384-6256
(706) 364-5090
Mailing address
PO BOX 21919, HILTON HEAD, SC 29925
(843) 717-4286
(843) 717-9349
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
6890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020039L
—
GA
01
—
390007139
MEDICARE RR
GA
05
—
903035
—
SC
05
—
GPA743
—
SC
Enumeration date
12/15/2011
Last updated
08/05/2022
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