Individual
DR. ANN E SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5133 RIVERS AVE, NORTH CHARLESTON, SC 29406-6338
(843) 789-1786
(843) 958-1263
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33792
SC
208M00000X
Hospitalist Physician
2009-00576
NC
208M00000X
Hospitalist Physician
33792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL33792
STATE MEDICAL LICENSE
SC
Enumeration date
08/29/2006
Last updated
11/09/2020
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