Individual
DR. SUSAN FELLOWS VANEPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8590 SAN MARCELLO DR, #101, MYRTLE BEACH, SC 29579-5281
(843) 236-9669
Mailing address
PO BOX 7444, MYRTLE BEACH, SC 29572-0012
(843) 236-9669
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
11526
SC
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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