Individual
SUSAN E SUMMERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, DIPL. OM
Contact information
Practice address
195 EXECUTIVE DR, NEWBERRY, SC 29108-2952
(803) 276-4494
(803) 276-4495
Mailing address
195 EXECUTIVE DR, NEWBERRY, SC 29108-2952
(803) 276-4494
(803) 276-4495
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
107
SC
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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