Individual
TODD RUSSELL ZUSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
(864) 329-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1377
SC
207Q00000X
Family Medicine Physician
OS7932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013773
—
SC
01
—
P00892907
RAILROAD MEDICARE
SC
Enumeration date
10/12/2005
Last updated
02/17/2023
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