Individual
MRS. SUSAN P. BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 HAMPTON ST, ROOM 2066, COLUMBIA, SC 29204-1002
(803) 576-2821
Mailing address
2000 HAMPTON ST, ROOM 2066, COLUMBIA, SC 29204-1002
(803) 576-2821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90043
SC
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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