Individual
DR. SUSANNE M. BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3510 N HIGHWAY 17 STE 225, MT PLEASANT, SC 29466-8233
(843) 884-0301
(843) 606-8062
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240634
—
SC
Enumeration date
08/14/2006
Last updated
11/10/2020
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