Individual
SUSAN B METALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8803
Mailing address
276 FOX CATCHER DR, MYRTLE BEACH, SC 29588-6687
(843) 446-7398
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
39559
SC
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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