Individual
MRS. ANNE M SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 675-4510
Mailing address
130 WHITTINGTON DR, GREENVILLE, SC 29615-2675
(864) 297-3774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019491
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15463
STATE NURSING LICENSE
SC
01
—
19491
AANA LICENSE
SC
Enumeration date
02/23/2007
Last updated
05/11/2010
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