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Individual

SUSAN D CASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
130 DILLON DR, SPARTANBURG, SC 29307-1018
(800) 678-4611
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(800) 678-4611

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5184
SC
363A00000X
Physician Assistant
9118309
FL
363A00000X
Physician Assistant
PA00253
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30289-8
BCBS
RI
01
408463
BLUE CHIP
RI
05
7009009
RI
Enumeration date
09/14/2006
Last updated
01/06/2026
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