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Individual

SUSAN B FERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2604
SC
363A00000X
Physician Assistant
SC
363AS0400X
Surgical Physician Assistant
001700
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101700
CONNECTICARE
CT
01
1255448155
GHMC GROUP NPI PROVIDER I
CT
01
290001700CT01
BCBS
CT
01
2V6305
HEALTH NET
CT
01
9763814
CIGNA
CT
01
C01373
GHMC GROUP MEDICARE ID
CT
Enumeration date
06/14/2006
Last updated
10/09/2025
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