Individual
SUSAN MARIE GNIADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 698-2663
Mailing address
274 PENN CIR, GALIVANTS FERRY, SC 29544-8679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21600
SC
Other
Enumeration date
08/18/2017
Last updated
12/05/2023
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