Individual
SUSAN T BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 LATIMER ST, LATTA, SC 29565-1828
(843) 752-5295
Mailing address
122 LATIMER ST, LATTA, SC 29565-1828
(843) 752-5295
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22218
SC
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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