Individual
DR. SUZANNE E POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
Mailing address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4350
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4350
—
SC
Enumeration date
06/26/2007
Last updated
07/01/2009
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