Individual
SUZANNE MARIE HEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MA
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97963
SC
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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