Individual
MRS. SUSAN C BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5109B W ENTERPRISE ST, NORTH CHARLESTON, SC 29405-4066
(843) 746-6402
(843) 529-4991
Mailing address
5109B W ENTERPRISE ST, NORTH CHARLESTON, SC 29405-4066
(843) 746-6402
(843) 529-4991
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PR31125
SC
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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