Individual
TERESA Y SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BEECH BRANCH CT, IRMO, SC 29063-8046
(803) 920-7744
(803) 407-2957
Mailing address
PO BOX 2871, IRMO, SC 29063-4009
(803) 920-7744
(803) 407-2957
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2009-38960-38100
SC
Other
Enumeration date
10/05/2009
Last updated
10/14/2009
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