Organization
PETER J SUKIN MD INC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYN INMAN (BILLING AGENT)
(843) 377-1600
Entity
Organization
Contact information
Practice address
9326 A MEDICAL PLAZA DRIVE, N CHARLESTON, SC 29406-9138
(843) 377-1600
(843) 377-1601
Mailing address
9326 A MEDICAL PLAZA DRIVE, N CHARLESTON, SC 29406-9138
(843) 377-1600
(843) 377-1601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
22504
SC
101YP2500X
Professional Counselor
22504
SC
103TB0200X
Cognitive & Behavioral Psychologist
22504
SC
103TP0016X
Prescribing (Medical) Psychologist
Primary
22504
SC
106H00000X
Marriage & Family Therapist
22504
SC
Other
Enumeration date
12/20/2007
Last updated
03/05/2008
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