Individual
GERMINA SUFFRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1590 FREEDOM BLVD, SUITE A, FLORENCE, SC 29505-6071
(843) 674-2512
Mailing address
947 S IRBY ST, FLORENCE, SC 29501-5238
(843) 629-7074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33146
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331466
—
SC
01
—
7183
MEDICARE GROUP
SC
01
—
GP4306
MEDICAID GROUP
SC
Enumeration date
04/27/2007
Last updated
10/20/2020
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